Individual
DR. JEFFEREY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
7812 WARNER AVE, HUNTINGTON BEACH, CA 92647-4700
(714) 375-3222
(714) 375-3223
Mailing address
7812 WARNER AVE, HUNTINGTON BEACH, CA 92647-4700
(714) 375-3222
(714) 375-3223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
63830
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
63830
CA
Other
Enumeration date
09/12/2014
Last updated
07/30/2019
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