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Organization
DERICK PHAM DMD, INC
Active
Organization
DERICK PHAM DMD, INC
Active
Other names
OC Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERICK PHAM DMD (OWNER DENTIST)
(631) 693-9040
Entity
Organization
Contact information
Practice address
3612 FLORISTA ST, LOS ALAMITOS, CA 90720-2423
(562) 598-4207
Mailing address
3612 FLORISTA ST, LOS ALAMITOS, CA 90720-2423
(562) 598-4207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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