| NPI | 1902345044 |
|---|---|
| Doing Business As | GULF COAST DENTAL - HOUSTON |
| Entity Type | Organization |
| Authorized Contact | DIEP PHAM Owner/Dentist 832-287-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-03-09 |