DAT VAN PHAM

KATY, TX
NPI1134103005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MN  12107)
Additional Taxonomies122300000X Dentist
(Licence: TX  25911)
Enumeration Date2005-12-02
Last Update Date2014-03-29
Business Address
Dr. DAT VAN PHAM DDS
403 W. GRAND PARKWAY S. SUITE H
KATY, TX 77494-6606
Phone number: 281-402-8188
Mailing Address
Dr. DAT VAN PHAM DDS
403 W. GRAND PARKWAY S. SUITE H
KATY, TX 77494-6606
Phone number: 281-402-8188
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