Individual
MR. LAN THANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5775 JIMMY CARTER BLVD, GOOD CARE DENTAL STE 440, NORCROSS, GA 30071
(770) 447-4702
(770) 447-4705
Mailing address
1900 BRANDIE ELAINE AVE, SNELLVILLE, GA 30078
(770) 736-7619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12144
GA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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