Individual
DR. JOHN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1515 NW LOUISIANA AVE, CHEHALIS, WA 98532-1748
(360) 740-6212
(360) 740-6222
Mailing address
1515 NW LOUISIANA AVE, CHEHALIS, WA 98532-1748
(360) 740-6212
(360) 740-6222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D6843
OR
122300000X
Dentist
Primary
DE00008608
WA
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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