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NPI 1275997082

OrganizationActive

Access Dental of Park Lake PA

NPI 1275997082 · Dentist · Waco, TX

Provider details

NPI number: 1275997082
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Tien Phan, Dentist
License: 22334 (TX)

Practice location

1925 Park Lake Dr

Waco, TX 76708-1682

Phone: (972) 514-1689

More TX providers

Mailing address

8150 Springwood Dr # 150b

Irving, TX 75063-5810

Registry dates

Enumerated: 2016-04-07
Last updated: 2021-10-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Access Dental of Park Lake PA — NPI 1275997082, Waco, TX | NPI Central