Individual
ANN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4210 W CRAIG RD, SUITE 104, NORTH LAS VEGAS, NV 89032-2734
(702) 436-5222
(702) 873-5222
Mailing address
4210 W CRAIG RD, SUITE 104, NORTH LAS VEGAS, NV 89032-2734
(702) 436-5222
(702) 873-5222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4078
NV
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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