| Grand Smiles | |
|
403 W Grand Pkwy S Ste S Suite H Katy TX 77494-8358 | |
| (281) 402-8188 | |
| Not Available |
| Full Name | Grand Smiles |
|---|---|
| Speciality | Dentist |
| Location | 403 W Grand Pkwy S Ste S, Katy, Texas |
| Authorized Official Name and Position | Dat Pham (PRESIDENT) |
| Authorized Official Contact | 2814028188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Smiles 403 W Grand Pkwy S Ste S Suite H Katy TX 77494-8358 Ph: (281) 402-8188 | Grand Smiles 403 W Grand Pkwy S Ste S Suite H Katy TX 77494-8358 Ph: (281) 402-8188 |
| NPI Number | 1861810723 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861810723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 25911 (Texas) | Primary |
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