# ROBERT PHAM DDS A PROFESSIONAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700909975
- **Authorized official:** DR. ROBERT NHAN PHAM DDS (OWNER)
- **Authorized official phone:** (702) 985-5158

## Contact information

- **Practice address:** 55 E. HORIZON RIDGE PKWY., STE 100, HENDERSON, NV 89002
- **Practice address phone:** (702) 436-2232
- **Practice address fax:** (702) 436-0515
- **Mailing address:** 5516 BOULDER HWY, STE. 2A, LAS VEGAS, NV 89122-6000
- **Mailing address phone:** (702) 985-5158
- **Mailing address fax:** (702) 547-2232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 09/25/2013