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Individual
MICHAEL PHAM
Active
Individual
MICHAEL PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D14185
MN
1223E0200X
Endodontics
Primary
64987
CA
Other
Enumeration date
08/31/2015
Last updated
02/07/2023
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