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Organization
LP DENTAL CARE CORPORATION
Active
Organization
LP DENTAL CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOAN THI-THANH PHAM DDS (PRESIDENT)
(916) 422-5628
Entity
Organization
Contact information
Practice address
6830 STOCKTON BLVD, STE 185, SACRAMENTO, CA 95823-2325
(916) 422-5628
Mailing address
6830 STOCKTON BLVD, STE 185, SACRAMENTO, CA 95823-2325
(916) 422-5628
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49639
CA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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