# DR. JEFFEREY PHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033510771
- **Gender:** Man
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 63830 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 63830 | CA | Yes |

## Other

- **Enumeration date:** 09/12/2014
- **Last updated:** 07/30/2019