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Individual
CHRISTOPHER PHAM
Active
Individual
CHRISTOPHER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105532
CA
1223P0300X
Periodontics
Primary
105532
CA
Other
Enumeration date
09/15/2020
Last updated
02/10/2021
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