# KRISTINE H. PHAM, DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NOVA Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811669799
- **Authorized official:** DR. KRISTINE H. PHAM DMD (DENTIST/OWNER)
- **Authorized official phone:** (360) 546-5208

## Contact information

- **Practice address:** 1300 NE 134TH ST, VANCOUVER, WA 98685-2747
- **Practice address phone:** (360) 546-5208
- **Mailing address:** 1300 NE 134TH ST, VANCOUVER, WA 98685-2747
- **Mailing address phone:** (360) 546-5208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/29/2021
- **Last updated:** 09/29/2021