Organization
AMY H. PHAM, A PROFESSIONAL DENTAL CORPORATION
Active
Other names
Prodental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY H PHAM DDS (OWNER)
(530) 534-6666
Entity
Organization
Contact information
Practice address
2630 OLIVE HWY, SUITE A, OROVILLE, CA 95966-6138
(530) 534-6666
(530) 534-1040
Mailing address
2630 OLIVE HWY, SUITE A, OROVILLE, CA 95966-6138
(530) 534-6666
(530) 534-1040
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174509848
—
CA
Enumeration date
02/18/2015
Last updated
02/18/2015
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