| Diep Pham Dds, Inc | |
|
309 Garland Dr Lake Jackson TX 77566-6238 | |
| (979) 480-9300 | |
| Not Available |
| Full Name | Diep Pham Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 309 Garland Dr, Lake Jackson, Texas |
| Authorized Official Name and Position | Diep Pham (PRESIDENT) |
| Authorized Official Contact | 2812082016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diep Pham Dds, Inc Po Box 2086 Alief TX 77411-2086 Ph: () - | Diep Pham Dds, Inc 309 Garland Dr Lake Jackson TX 77566-6238 Ph: (979) 480-9300 |
| NPI Number | 1770840340 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770840340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17862 (Texas) | Primary |
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