| NPI | 1770840340 |
|---|---|
| Doing Business As | GULF COAST DENTAL |
| Entity Type | Organization |
| Authorized Contact | DIEP PHAM President 281-208-2016 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17862) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |