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Organization
MICHAEL TUNG PHAM, DMD, PC
Active
Organization
MICHAEL TUNG PHAM, DMD, PC
Active
Other names
Eastern Hills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TUNG PHAM DMD (DENTIST/PRESIDENT/OWNER)
(702) 262-5693
Entity
Organization
Contact information
Practice address
5905 S EASTERN AVE, SUITE 112, LAS VEGAS, NV 89119-3129
(702) 262-5693
Mailing address
5905 S EASTERN AVE, SUITE 112, LAS VEGAS, NV 89119-3129
(702) 262-5693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4769
NV
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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