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Organization
GABRIELLA TN PHAM DDS INC
Active
Organization
GABRIELLA TN PHAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIELLA THANH-NGOC PHAM D.D.S (PRESIDENT)
(714) 850-9999
Entity
Organization
Contact information
Practice address
891 BAKER ST, SUITE A12, COSTA MESA, CA 92626-4361
(714) 850-9999
Mailing address
891 BAKER ST, SUITE A12, COSTA MESA, CA 92626-4361
(714) 850-9999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42761
CA
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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