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Individual

MYLOAN PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
6701 MAGNOLIA WAY, ROCKLIN, CA 95765-5820
(916) 517-5280
Mailing address
6701 MAGNOLIA WAY, ROCKLIN, CA 95765-5820

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP653
CA

Other

Enumeration date
05/26/2017
Last updated
05/26/2017
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