Magic Dental

NPI #1548420250 in Richmond, Texas

Provider Information

NPI Number: 1548420250
Entity Type: Organization
Organization Name: Magic Dental
Primary Specialty: Dentist
Enumeration Date: Jun 16, 2008
Last Updated: Jun 16, 2008

Practice Location

Address: 5530 W GRAND PARKWAY S
Address 2: SUITE 100
City: Richmond
State: Texas
ZIP Code: 77469
Phone: (713) 679-3939

Authorized Official

Name: BRIAN PHAN
Title: OWNER
Phone: (713) 679-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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