Organization
DENNIS H. PHAM DDS DENTAL CORPORATION
Active
Other names
Caleo Bay Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS PHAM DDS (PRESIDENT)
(720) 935-5704
Entity
Organization
Contact information
Practice address
47875 CALEO BAY DR, A101, LA QUINTA, CA 92253-6386
(760) 564-1300
Mailing address
47875 CALEO BAY DR, A101, LA QUINTA, CA 92253-6386
(760) 564-1300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100207
CA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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