Organization
KRYSTAL PHAM DDS, INC.
Active
Other names
Oceanic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL H PHAM D.D.S. (PRESIDENT)
(714) 841-0203
Entity
Organization
Contact information
Practice address
16052 BEACH BLVD STE 112, HUNTINGTON BEACH, CA 92647-3842
(714) 841-0203
(714) 842-0618
Mailing address
16052 BEACH BLVD STE 112, HUNTINGTON BEACH, CA 92647-3842
(714) 841-0203
(714) 842-0618
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57473
CA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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