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Individual

DR. QUYNHNHU PHAM

Active
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Individual

DR. QUYNHNHU PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN22702
FL
1223G0001X
General Practice Dentistry
Primary
DN22702
FL
1223P0700X
Prosthodontics
058818
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609323948
NY
Enumeration date
09/02/2016
Last updated
01/11/2018
About Stedi
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