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Organization

THANH PHAM DDS DENTAL CORPORATION

Active
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Organization

THANH PHAM DDS DENTAL CORPORATION

Active
Other names
San Andreas Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
THANH PHAM DDS (PRESIDENT)
(408) 702-7632
Entity
Organization

Contact information

Practice address
40 SAINT CHARLES ST E, SAN ANDREAS, CA 95249-7732
(408) 702-7632
Mailing address
PO BOX 746, SAN ANDREAS, CA 95249-0746
(408) 702-7632

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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