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Organization
ANN PHAM D.D.S., P.C.
Active
Organization
ANN PHAM D.D.S., P.C.
Active
Other names
Miracle Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN T. A. PHAM D.D.S. (PRESIDENT)
(702) 456-0056
Entity
Organization
Contact information
Practice address
4210 W CRAIG RD, SUITE #104, NORTH LAS VEGAS, NV 89032-2734
(702) 436-5222
(702) 873-5222
Mailing address
8001 N DURANGO DR, SUITE 100, LAS VEGAS, NV 89143
(702) 456-0056
(702) 456-0052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4078
NV
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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