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Contact Information

NORTHWEST DENTAL ASSOCIATES P.A.
11066 PECAN PARK BLVD.
SUITE #411
CEDAR PARK, TX78613
 Phone: 512-219-7484
 Fax: 512-219-6505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NORTHWEST DENTAL ASSOCIATES P.A.

NPI # 1093196644
LBN Legal business name NORTHWEST DENTAL ASSOCIATES P.A.
Authorized official TOAI PHAM - (DOCTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2015
Last updated 06/09/2015 - About 11 years ago
Identifiers
TX License # 18096
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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