Individual
STACEY NGOC DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16903 W LAKE HOUSTON PKWY, HUMBLE, TX 77346-4733
(713) 697-6453
Mailing address
16903 W LAKE HOUSTON PKWY, HUMBLE, TX 77346-4733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
38901
TX
1223P0221X
Pediatric Dentistry
Primary
38901
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2022
Last updated
01/15/2025
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