Centra Two Dental

NPI #1174787378 in Pearland, Texas

Provider Information

NPI Number: 1174787378
Entity Type: Organization
Organization Name: Centra Two Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 16, 2008
Last Updated: Jul 16, 2008

Practice Location

Address: 5103 BROADWAY ST
Address 2: 109
City: Pearland
State: Texas
ZIP Code: 77581-3900
Phone: (281) 485-7767

Authorized Official

Name: HIEP DUY PHAM, DDS
Title: OWNER
Phone: (281) 485-7767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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