Individual
QUYEN MANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3375 E TROPICANA AVE, STE F-8, LAS VEGAS, NV 89121-7388
(702) 964-3626
(702) 425-9491
Mailing address
3375 E TROPICANA AVE, SUITE F-8, LAS VEGAS, NV 89121-7388
(702) 964-3626
(702) 425-9491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
46925
CA
122300000X
Dentist
Primary
5042
NV
Other
Enumeration date
10/25/2006
Last updated
04/07/2016
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