Individual
SANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 S STATE ST, MARION, OH 43302-3812
(740) 386-2700
Mailing address
150 S STATE ST, MARION, OH 43302-3812
(646) 400-3630
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-022960
OH
Other
Enumeration date
04/16/2009
Last updated
08/09/2022
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