| Emmy Dental | |
|
20503 Fm 529 Rd Suite 500 Cypress TX 77433-3297 | |
| (281) 789-8644 | |
| Not Available |
| Full Name | Emmy Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20503 Fm 529 Rd, Cypress, Texas |
| Authorized Official Name and Position | Shannon Quynh Pham (MANAGER) |
| Authorized Official Contact | 2817898644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmy Dental 11611 Carson Field Ln Cypress TX 77433-2845 Ph: (832) 273-5361 | Emmy Dental 20503 Fm 529 Rd Suite 500 Cypress TX 77433-3297 Ph: (281) 789-8644 |
| NPI Number | 1306200910 |
|---|---|
| Provider Enumeration Date | 04/09/2016 |
| Last Update Date | 04/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306200910 | NPI | - | NPPES |
| 2130130 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25646 (Texas) | Primary |
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