Individual
LOAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
39 PARK LANE RD, NEW MILFORD, CT 06776-2923
(860) 350-2411
Mailing address
33 ABBEY LN UNIT 3409, DANBURY, CT 06810-5222
(669) 350-4089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14819
CT
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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