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Individual
DR. LIEN NGOC PHAM
Active
Individual
DR. LIEN NGOC PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240483
DELTA DENTAL-PALMDALE
CA
01
—
B40483-01
DENTICAL-SAN JOSE OFF.
CA
01
—
B40483-02
DENTICAL-PALMDALE OFF.
CA
01
—
D40483
CA FAMILY HEALTH PROGRAM
CA
Enumeration date
02/20/2007
Last updated
07/08/2007
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