Organization
ANTHONY TAI Q. PHAM, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY TAI QUANG PHAM D.D.S. (PRESIDENT)
(858) 499-8911
Entity
Organization
Contact information
Practice address
4240 KEARNY MESA RD, SUITE #117, SAN DIEGO, CA 92111-3777
(858) 499-8911
(858) 499-8913
Mailing address
4240 KEARNY MESA RD, SUITE #117, SAN DIEGO, CA 92111-3777
(858) 499-8911
(858) 499-8913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41665
CA
Other
Enumeration date
06/04/2007
Last updated
09/09/2010
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