Sd Haltom City Pllc | |
3101 Denton Hwy Ste 100 Haltom City TX 76117-3706 | |
(817) 831-6500 | |
Not Available |
Full Name | Sd Haltom City Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 3101 Denton Hwy Ste 100, Haltom City, Texas |
Authorized Official Name and Position | Lynhthy T Pham (OWNER) |
Authorized Official Contact | 4699026792 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sd Haltom City Pllc Po Box 453247 Garland TX 75045-3247 Ph: (214) 466-1400 | Sd Haltom City Pllc 3101 Denton Hwy Ste 100 Haltom City TX 76117-3706 Ph: (817) 831-6500 |
NPI Number | 1497444673 |
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Provider Enumeration Date | 05/03/2023 |
Last Update Date | 05/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497444673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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