Phan Dental Group,pllc

NPI #1194120881 in Richmond, Texas

Provider Information

NPI Number: 1194120881
Entity Type: Organization
Organization Name: Phan Dental Group,pllc
Primary Specialty: Dentist
Enumeration Date: Oct 24, 2014
Last Updated: Oct 29, 2014

Practice Location

Address: 5530 W GRAND PKWY S STE 100
City: Richmond
State: Texas
ZIP Code: 77406-5807
Phone: (281) 232-1421

Authorized Official

Name: BRIAN PHAN
Title: DDS
Phone: (281) 232-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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