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1245658798
LA COSTA DENTAL OF KOSTORYZ PA
CORPUS CHRISTI, TX
NPI
1245658798
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Entity Type
Organization
Authorized Contact
TIEN DINH PHAN
Dentist
817-531-3500
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 22334)
Enumeration Date
2014-04-02
Last Update Date
2021-10-25
Business Address
LA COSTA DENTAL OF KOSTORYZ PA
4506 KOSTORYZ RD
CORPUS CHRISTI, TX 78415-5023
Phone number: 817-531-3500
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Mailing Address
LA COSTA DENTAL OF KOSTORYZ PA
8150 SPRINGWOOD DR # 150B
IRVING, TX 75063-5810
Phone number:
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