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Organization
KRYSTAL PHAM DDS, INC
Active
Organization
KRYSTAL PHAM DDS, INC
Active
Other names
Oceanic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KRYTSTAL H PHAM DDS (PRESIDENT)
(714) 378-0085
Entity
Organization
Contact information
Practice address
17991 EUCLID ST, FOUNTAIN VALLEY, CA 92708-5409
(714) 378-0085
Mailing address
17991 EUCLID ST, FOUNTAIN VALLEY, CA 92708-5409
(714) 378-0085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57473
CA
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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