Individual
DR. THAO PHUONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3979 BUFORD HWY NE STE 122, ATLANTA, GA 30345-1683
(470) 702-9000
Mailing address
5395 JIMMY CARTER BLVD # 700-A, NORCROSS, GA 30093-1502
(770) 559-3932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015848
GA
Other
Enumeration date
06/05/2019
Last updated
10/19/2023
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