Organization
GRAND SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAT PHAM D.D.S. (PRESIDENT)
(281) 402-8188
Entity
Organization
Contact information
Practice address
403 W GRAND PKWY S STE S, SUITE H, KATY, TX 77494-8358
(281) 402-8188
Mailing address
403 W GRAND PKWY S STE S, SUITE H, KATY, TX 77494-8358
(281) 402-8188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25911
TX
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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