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Organization
KEVIN THANG PHAM, DDS, INC.
Active
Organization
KEVIN THANG PHAM, DDS, INC.
Active
Other names
Kevin Thang Pham DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN THANG PHAM DDS (OWNER)
(209) 475-0869
Entity
Organization
Contact information
Practice address
7746 LORRAINE AVE SUITE 204, STOCKTON, CA 95210-4234
(209) 475-0869
(209) 475-0859
Mailing address
7746 LORRAINE AVE SUITE 204, STOCKTON, CA 95210-4234
(209) 475-0869
(209) 475-0859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48979
CA
Other
Enumeration date
08/16/2013
Last updated
09/02/2021
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