# PETER C. PHAM, DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295031680
- **Authorized official:** CAMELA BROOKE PHAM (OFFICE MANAGER)
- **Authorized official phone:** (814) 366-2008

## Contact information

- **Practice address:** 1409 13TH ST, ALTOONA, PA 16601-3409
- **Practice address phone:** (814) 944-6611
- **Mailing address:** 1409 13TH ST, ALTOONA, PA 16601-3409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS036673 | PA | Yes |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/01/2011