| Duc Pham Dentistry | |
|
3610 S. Cooper St Suite112 Arlington TX 76015 | |
| (817) 466-1500 | |
| Not Available |
| Full Name | Duc Pham Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3610 S. Cooper St Suite112, Arlington, Texas |
| Authorized Official Name and Position | Duc X Pham (DENTIST) |
| Authorized Official Contact | 8174661500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duc Pham Dentistry 3610 S. Cooper St Suite112 Arlington TX 76015 Ph: (817) 466-1500 | Duc Pham Dentistry 3610 S. Cooper St Suite112 Arlington TX 76015 Ph: (817) 466-1500 |
| NPI Number | 1568751568 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568751568 | NPI | - | NPPES |
| 1595548-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20757 (Texas) | Primary |
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