Organization
DIEP PHAM DDS PA
Active
Other names
Gulf Coast Dental - Houston
Organization subpart
No
Provider details
NPI number
Authorized official
DIEP PHAM DDS (OWNER/DENTIST)
(832) 287-5891
Entity
Organization
Contact information
Practice address
906 WAYSIDE DR, HOUSTON, TX 77011-2518
(832) 287-5891
Mailing address
PO BOX 1610, ALIEF, TX 77411-2086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
03/09/2017
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