| Centra Two Dental | |
|
5103 Broadway St 109 Pearland TX 77581-3900 | |
| (281) 485-7767 | |
| (281) 485-7745 |
| Full Name | Centra Two Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5103 Broadway St, Pearland, Texas |
| Authorized Official Name and Position | Hiep Duy Pham (OWNER) |
| Authorized Official Contact | 2814857767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centra Two Dental 5103 Broadway St 109 Pearland TX 77581-3900 Ph: (281) 485-7767 | Centra Two Dental 5103 Broadway St 109 Pearland TX 77581-3900 Ph: (281) 485-7767 |
| NPI Number | 1174787378 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174787378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19860 (Texas) | Primary |
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