Phantastic Smiles PA

NPI #1710438049 in Pasadena, Texas

Provider Information

NPI Number
1710438049
Entity Type
Organization
Organization Name
Phantastic Smiles PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 21, 2016
Last Updated
Oct 21, 2016

Practice Location

Address
102 FAIRMONT PKWY
State
Texas
ZIP Code
77504-2742
Phone
(713) 473-0058

Authorized Official

Name
DR. MINH HONG PHAN, DDS
Title
PRESIDENT
Phone
(713) 473-0058

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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