| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3535 Rayford Rd, Spring, Texas |
| Authorized Official Name and Position | Phuong Quoc Pham (OWNER) |
| Authorized Official Contact | 7134590834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3535 Rayford Rd Ste 300 Spring TX 77386-4491 Ph: (713) 459-0834 | 3535 Rayford Rd Spring TX 77386 Ph: (713) 459-0834 |
| NPI Number | 1720434202 |
|---|---|
| Provider Enumeration Date | 05/13/2016 |
| Last Update Date | 06/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720434202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29084 (Texas) | Primary |
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