| Autumn Family Dentistry | |
|
2508 Gulf Fwy S Ste 108 League City TX 77573-6743 | |
| (281) 678-8344 | |
| Not Available |
| Full Name | Autumn Family Dentistry |
|---|---|
| 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 |
|---|---|
| Autumn Family Dentistry 2508 Gulf Fwy S Ste 108 League City TX 77573-6743 Ph: (281) 678-8344 | Autumn Family Dentistry 2508 Gulf Fwy S Ste 108 League City TX 77573-6743 Ph: (281) 678-8344 |
| NPI Number | 1568813186 |
|---|---|
| Provider Enumeration Date | 06/24/2016 |
| Last Update Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568813186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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