Individual
DR. BACH-MAI THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5247 ELKHORN BLVD, SUITE C, SACRAMENTO, CA 95842-2509
(916) 344-2249
Mailing address
8171 BEYER CT, ELK GROVE, CA 95624-4124
(916) 682-0783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47155
CA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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