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Organization
DERRICK PHAM DDS PROFESSIONAL CORPORATION DBA LV DENTAL
Active
Organization
DERRICK PHAM DDS PROFESSIONAL CORPORATION DBA LV DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK PHAM DDS (PRESIDENT)
(714) 417-0246
Entity
Organization
Contact information
Practice address
4705 S DURANGO DR STE 115, LAS VEGAS, NV 89147-8162
(714) 417-0246
Mailing address
4705 S DURANGO DR STE 115, LAS VEGAS, NV 89147-8162
(714) 417-0246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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