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Individual
JOHNNY DUY PHAM
Active
Individual
JOHNNY DUY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
107364
CA
1223G0001X
General Practice Dentistry
107364
CA
1223G0001X
General Practice Dentistry
Primary
DDS107364
CA
Other
Enumeration date
03/04/2021
Last updated
07/28/2026
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