# DIEP PHAM DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Coast Dental - Houston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902345044
- **Authorized official:** DIEP PHAM DDS (OWNER/DENTIST)
- **Authorized official phone:** (832) 287-5891

## Contact information

- **Practice address:** 906 WAYSIDE DR, HOUSTON, TX 77011-2518
- **Practice address phone:** (832) 287-5891
- **Mailing address:** PO BOX 1610, ALIEF, TX 77411-2086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2017
- **Last updated:** 03/09/2017