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Individual
DR. ROGER VAN PHAM
Active
Individual
DR. ROGER VAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
100597
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2016
Last updated
11/10/2024
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