Organization
DENTISTS OF MITCHELL RANCH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH PHAM D.D.S. (OWNER)
(714) 845-8890
Entity
Organization
Contact information
Practice address
3112 LITTLE RD, TRINITY, FL 34655-1864
(727) 475-4852
(727) 475-4233
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
08/21/2024
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