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Individual

TRANG PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
9630 BRUCEVILLE RD STE 102, ELK GROVE, CA 95757-5512
(916) 714-2543
Mailing address
9630 BRUCEVILLE RD STE 102, ELK GROVE, CA 95757-5512
(916) 714-2543

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS111388
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2023
Last updated
07/07/2025
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