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2508 Gulf Fwy S Ste 108 League City TX 77573-6743 | |
(281) 678-8344 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 2508 Gulf Fwy S Ste 108, League City, Texas |
Authorized Official Name and Position | Thien-kim Thi Pham (DENTIST) |
Authorized Official Contact | 2816788344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2508 Gulf Fwy S Ste 108 League City TX 77573-6743 Ph: (281) 678-8344 | 2508 Gulf Fwy S Ste 108 League City TX 77573-6743 Ph: (281) 678-8344 |
NPI Number | 1568813186 |
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Provider Enumeration Date | 06/24/2016 |
Last Update Date | 02/11/2020 |
Identifier | Type | State | Issuer |
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1568813186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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