Individual
ANTHONY TUAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2658 E GARVEY AVE S, WEST COVINA, CA 91791-2113
(951) 582-1304
Mailing address
2658 E GARVEY AVE S, WEST COVINA, CA 91791-2113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D105543
CA
Other
Enumeration date
04/07/2022
Last updated
12/19/2023
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