Individual
MR. TAN BA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9609 E MILL PLAN BLVD, VANCOUVER, WA 98664-3478
(360) 896-3022
(360) 896-4185
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124
(503) 952-2164
(503) 526-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7224
OR
122300000X
Dentist
Primary
DE00007715
WA
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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