Full Name | Cerca Dental |
---|---|
Speciality | Dentist |
Location | 3500 Garth Rd, Baytown, Texas |
Authorized Official Name and Position | Thien Quoc Pham (PRESIDENT) |
Authorized Official Contact | 8322322325 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cerca Dental 3500 Garth Rd Baytown TX 77521-3873 Ph: (724) 769-3609 | Cerca Dental 3500 Garth Rd Baytown TX 77521-3873 Ph: (724) 769-3609 |
NPI Number | 1003269663 |
---|---|
Provider Enumeration Date | 07/19/2016 |
Last Update Date | 07/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003269663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 23502 (Texas) | Primary |
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