Individual
AI-PHUONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
480 ADAMS ST STE 104, MILTON, MA 02186-4914
(617) 698-0600
Mailing address
480 ADAMS ST STE 104, MILTON, MA 02186-4914
(617) 698-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21661
MA
Other
Enumeration date
07/25/2006
Last updated
02/14/2023
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