# CHRISTINA PHAM DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205470549
- **Authorized official:** DR. CHRISTINA PHAM DDS (OWNER)
- **Authorized official phone:** (720) 207-4201

## Contact information

- **Practice address:** 9328 JORDAN RD UNIT 109, PARKER, CO 80134-9313
- **Practice address phone:** (720) 207-4201
- **Mailing address:** 15791 E PROGRESS DR, CENTENNIAL, CO 80015-4257
- **Mailing address phone:** (720) 207-4201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 10/30/2019