DR. Mary Ngoc Phan, DDS

NPI #1962614628 in Pasadena, Texas

Provider Information

NPI Number: 1962614628
Entity Type: Individual
Name: DR. Mary Ngoc Phan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 905 SOUTHMORE
City: Pasadena
State: Texas
ZIP Code: 77502
Phone: (713) 473-7223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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