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Organization

PHAM & CAO DENTAL CORP.

Active
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Organization

PHAM & CAO DENTAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAYLOR PHAM D.D.S. (OWNER)
(562) 981-1000
Entity
Organization

Contact information

Practice address
2407 ATLANTIC AVE, LONG BEACH, CA 90806-3221
(562) 981-1000
(562) 981-1003
Mailing address
2407 ATLANTIC AVE, LONG BEACH, CA 90806-3221
(562) 981-1000
(562) 981-1003

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43483
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G93083-01
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
11/13/2006
Last updated
08/22/2020
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