Access Dental of Park Lake PA

NPI #1275997082 in Waco, Texas

Provider Information

NPI Number: 1275997082
Entity Type: Organization
Organization Name: Access Dental of Park Lake PA
Primary Specialty: Dentist
Enumeration Date: Apr 7, 2016
Last Updated: Oct 25, 2021

Practice Location

Address: 1925 PARK LAKE DR
City: Waco
State: Texas
ZIP Code: 76708-1682
Phone: (972) 514-1689

Authorized Official

Name: TIEN DINH PHAN, DMD
Title: DENTIST
Phone: (972) 514-1689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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