# ANN PHAM D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miracle Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508059882
- **Authorized official:** DR. ANN T. A. PHAM D.D.S. (PRESIDENT)
- **Authorized official phone:** (702) 456-0056

## Contact information

- **Practice address:** 4210 W CRAIG RD, SUITE \#104, NORTH LAS VEGAS, NV 89032-2734
- **Practice address phone:** (702) 436-5222
- **Practice address fax:** (702) 873-5222
- **Mailing address:** 8001 N DURANGO DR, SUITE 100, LAS VEGAS, NV 89143
- **Mailing address phone:** (702) 456-0056
- **Mailing address fax:** (702) 456-0052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4078 | NV | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 08/21/2007