Individual
DR. DAT VAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
403 W. GRAND PARKWAY S., SUITE H, KATY, TX 77494-6606
(281) 402-8188
(281) 402-8190
Mailing address
403 W GRAND PKWY S STE H, KATY, TX 77494-8358
(281) 402-8188
(281) 402-8190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12107
MN
122300000X
Dentist
25911
TX
1223G0001X
General Practice Dentistry
Primary
25911
TX
1223P0221X
Pediatric Dentistry
25911
TX
Other
Enumeration date
12/02/2005
Last updated
02/19/2026
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