| Atlas Dental Lp | |
|
1723 N Avenue K Freeport TX 77541-3605 | |
| (979) 233-1581 | |
| (979) 233-8355 |
| Full Name | Atlas Dental Lp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1723 N Avenue K, Freeport, Texas |
| Authorized Official Name and Position | Tom Quang Huynh (PARTNER) |
| Authorized Official Contact | 9792331581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Dental Lp 14520 Memorial Dr M144 Houston TX 77079-5434 Ph: (979) 233-1581 | Atlas Dental Lp 1723 N Avenue K Freeport TX 77541-3605 Ph: (979) 233-1581 |
| NPI Number | 1114917846 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 04/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114917846 | NPI | - | NPPES |
| 162592301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19895 (Texas) | Primary |
Ay Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 N Avenue K, Freeport, TX 77541 Phone: 979-233-1581 | |
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