Phan Dental Group,pllc | |
5530 W Grand Pkwy S Ste 100 Richmond TX 77406-5807 | |
(281) 232-1421 | |
(281) 232-1425 |
Full Name | Phan Dental Group,pllc |
---|---|
Speciality | Dentist |
Location | 5530 W Grand Pkwy S Ste 100, Richmond, Texas |
Authorized Official Name and Position | Brian Phan (DDS) |
Authorized Official Contact | 2812321421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phan Dental Group,pllc 5530 W. Grand Parkway S, Suite 100 Richmond TX 77406 Ph: (281) 232-1421 | Phan Dental Group,pllc 5530 W Grand Pkwy S Ste 100 Richmond TX 77406-5807 Ph: (281) 232-1421 |
NPI Number | 1194120881 |
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Provider Enumeration Date | 10/24/2014 |
Last Update Date | 10/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194120881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22313 (Texas) | Primary |
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