Individual
DIEP THI NGOC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3939 LEXINGTON BLVD, MISSOURI CITY, TX 77459
(281) 208-2016
(281) 261-5091
Mailing address
PO BOX 2086, ALIEF, TX 77411
(281) 208-2016
(281) 261-5091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17862
TX
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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