# KIMBERLY N. PHAM. DMD. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043449697
- **Authorized official:** DR. KIMBERLY N PHAM DMD (OWNER)
- **Authorized official phone:** (714) 305-4447

## Contact information

- **Practice address:** 50 S ANAHEIM BLVD, SUITE 94, ANAHEIM, CA 92805-2931
- **Practice address phone:** (714) 305-4447
- **Practice address fax:** (714) 808-6422
- **Mailing address:** 2650 SKYLINE DR, SIGNAL HILL, CA 90755-3823
- **Mailing address phone:** (714) 305-4447
- **Mailing address fax:** (714) 808-6422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 50671 | CA | Yes |

## Other

- **Enumeration date:** 07/03/2009
- **Last updated:** 07/03/2009