# DR. ANH HUU PHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750325361
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | VA0404006304 | VA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401006304 | VA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0438000026 | VA | — |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 08/21/2013