Gulf Coast Dental - Bay City | |
2521 Avenue H Bay City TX 77414-6029 | |
(979) 245-2104 | |
Not Available |
Full Name | Gulf Coast Dental - Bay City |
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Speciality | Dentist |
Location | 2521 Avenue H, Bay City, Texas |
Authorized Official Name and Position | Diep Pham (OWNER) |
Authorized Official Contact | 9792452104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gulf Coast Dental - Bay City Po Box 1569 Lake Jackson TX 77566-1569 Ph: () - | Gulf Coast Dental - Bay City 2521 Avenue H Bay City TX 77414-6029 Ph: (979) 245-2104 |
NPI Number | 1568875250 |
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Provider Enumeration Date | 06/10/2014 |
Last Update Date | 06/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568875250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 17862 (Texas) | Primary |
122300000X | Dentist | 12472 (Texas) | Secondary |
122300000X | Dentist | 24866 (Texas) | Secondary |
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