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Organization
CENTER STREET DENTAL PROFESSIONALS, P.A.
Active
Organization
CENTER STREET DENTAL PROFESSIONALS, P.A.
Active
Other names
Nghi Trinh-Pham, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
NGHI TRINH-PHAM DDS (PRESIDENT)
(218) 463-1070
Entity
Organization
Contact information
Practice address
308 CENTER ST W, ROSEAU, MN 56751-1419
(218) 463-1070
(218) 463-1170
Mailing address
308 CENTER ST W, ROSEAU, MN 56751-1419
(218) 463-1070
(218) 463-1170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8357
MN
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346410909
FEE FOR SERVICE PROVIDER
MN
Enumeration date
03/10/2008
Last updated
07/22/2022
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