| Northwest Dental Associates P.a. | |
|
11066 Pecan Park Blvd. Suite #411 Cedar Park TX 78613 | |
| (512) 219-7484 | |
| (512) 219-6505 |
| Full Name | Northwest Dental Associates P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11066 Pecan Park Blvd., Cedar Park, Texas |
| Authorized Official Name and Position | Toai C. Pham (DOCTOR/OWNER) |
| Authorized Official Contact | 5122197484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dental Associates P.a. 11066 Pecan Park Blvd. Suite #411 Cedar Park TX 78613 Ph: (512) 219-7484 | Northwest Dental Associates P.a. 11066 Pecan Park Blvd. Suite #411 Cedar Park TX 78613 Ph: (512) 219-7484 |
| NPI Number | 1093196644 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093196644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18096 (Texas) | Primary |
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