| NPI | 1427369750 |
|---|---|
| Doing Business As | OCEANSIDE DENTAL ART |
| Entity Type | Organization |
| Authorized Contact | DIEP THI PHAM Owner 281-208-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17862) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |