Individual
HELEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 CENTRAL PARK BLVD STE 201, FREDERICKSBURG, VA 22401-4932
(540) 786-0696
Mailing address
5558 CAPITO ST, ROANOKE, VA 24019-4802
(540) 589-3669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415587
VA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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