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Individual

BRITTANY ERIN PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(618) 474-7000
Mailing address
3259 FOSTERBURG RD APT 4, ALTON, IL 62002-7367
(309) 696-6479

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
319.020963
IL

Other

Enumeration date
06/14/2018
Last updated
06/14/2018
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