Individual
HUY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5150 GRAVES AVE STE 12E, SAN JOSE, CA 95129-5015
(408) 253-4150
(408) 253-1979
Mailing address
5150 GRAVES AVE STE 12E, SAN JOSE, CA 95129-5015
(408) 253-4150
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D107077
CA
Other
Enumeration date
02/13/2021
Last updated
11/14/2022
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