| La Costa Of Port Arthur Pa | |
|
8035 Memorial Blvd Port Arthur TX 77640-7002 | |
| (972) 514-1689 | |
| Not Available |
| Full Name | La Costa Of Port Arthur Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8035 Memorial Blvd, Port Arthur, Texas |
| Authorized Official Name and Position | Tien Dinh Phan (DENTIST) |
| Authorized Official Contact | 9725141689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Costa Of Port Arthur Pa 8150 Springwood Dr Ste 150b Irving TX 75063-5810 Ph: (972) 514-1689 | La Costa Of Port Arthur Pa 8035 Memorial Blvd Port Arthur TX 77640-7002 Ph: (972) 514-1689 |
| NPI Number | 1942656509 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942656509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22334 (Texas) | Primary |
Gulf Coast Orthodontic Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8445 Memorial Blvd Ste 400, Port Arthur, TX 77640 Phone: 409-729-2371 Fax: 409-729-2729 | |
Seale Tx4 Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4700 Highway 365 Ste F, Port Arthur, TX 77642 Phone: 409-721-6300 | |
David Bernal Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7675 Memorial Blvd, Suite 200, Port Arthur, TX 77640 Phone: 409-853-3100 Fax: 409-727-3249 | |
Deepti Chittal Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 39th St, Port Arthur, TX 77642 Phone: 409-982-7827 | |
The Dental Dock Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7860 9th Ave, Port Arthur, TX 77642 Phone: 409-724-6387 Fax: 409-724-1949 | |
Gulfside Dental Port Arthur Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2780 Hwy 365, Suite C, Port Arthur, TX 77640 Phone: 409-433-9254 | |
Reyna Nguyen D.d.s P.l.l.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2770 Aero Dr, Ste 2, Port Arthur, TX 77604 Phone: 409-729-0300 Fax: 409-729-0319 |