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Organization
USAF 95MDOS
Active
Organization
USAF 95MDOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN A PHAM DMD (GENERAL DENTIST)
(661) 277-2872
Entity
Organization
Contact information
Practice address
31 NIGHTINGALE RD, BLDG 5513, EDWARDS AFB, CA 93524-0001
(661) 277-2872
Mailing address
4211 W 1ST ST, UNIT #54, SANTA ANA, CA 92703-4023
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
21258
MA
Other
Enumeration date
03/28/2006
Last updated
08/22/2020
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