| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 933 Fm 3009, Schertz, Texas |
| Authorized Official Name and Position | Lynhthy Thy Pham (PRESIDENT) |
| Authorized Official Contact | 2144661400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10901 Garland Rd Dallas TX 75218-2613 Ph: (214) 466-1400 | 933 Fm 3009 Schertz TX 78154-1000 Ph: (210) 659-2200 |
| NPI Number | 1801347125 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801347125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19887 (Texas) | Primary |
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