Organization
MOLAR MAGIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIEN CHI PHAM DDS (OWNER)
(520) 876-5200
Entity
Organization
Contact information
Practice address
1864 E FLORENCE BLVD, SUITE 1, CASA GRANDE, AZ 85122-5457
(520) 876-5200
(480) 393-0926
Mailing address
1864 E FLORENCE BLVD, SUITE 1, CASA GRANDE, AZ 85122-5457
(520) 876-5200
(480) 393-0926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6854
AZ
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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