Gulf Coast Dental - Bay City

NPI #1568875250 in Bay City, Texas

Provider Information

NPI Number: 1568875250
Entity Type: Organization
Organization Name: Gulf Coast Dental - Bay City
Subpart: Yes (part of a larger organization)
Parent Organization: OCEANSIDE DENTAL ARTS, LP
Primary Specialty: Dentist
Enumeration Date: Jun 10, 2014
Last Updated: Jun 10, 2014

Practice Location

Address: 2521 AVENUE H
City: Bay City
State: Texas
ZIP Code: 77414-6029
Phone: (979) 245-2104

Authorized Official

Name: DIEP PHAM, DDS
Title: OWNER
Phone: (979) 245-2104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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