| Fair Oaks Dental, Pa | |
|
9091 Fair Oaks Pkwy Suite 304 Fair Oaks Ranch TX 78015 | |
| (210) 698-9100 | |
| Not Available |
| Full Name | Fair Oaks Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9091 Fair Oaks Pkwy, Fair Oaks Ranch, Texas |
| Authorized Official Name and Position | Huyen Allison Tran (PRESIDENT) |
| Authorized Official Contact | 2106989100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Oaks Dental, Pa 9091 Fair Oaks Pkwy Suite 304 Fair Oaks Ranch TX 78015 Ph: (210) 698-9100 | Fair Oaks Dental, Pa 9091 Fair Oaks Pkwy Suite 304 Fair Oaks Ranch TX 78015 Ph: (210) 698-9100 |
| NPI Number | 1194901744 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194901744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21004 (Texas) | Primary |