Individual
NHUNG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4001 E BROADWAY BLVD, TUCSON, AZ 85711-3454
(520) 850-9512
(520) 622-6322
Mailing address
449 E ELM ST, TUCSON, AZ 85705-6713
(520) 850-9512
(520) 622-6322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21503
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205214
—
MA
Enumeration date
08/23/2006
Last updated
07/09/2007
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