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Individual

MICHAEL PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2801 WATERMAN BLVD STE 290, FAIRFIELD, CA 94534-2972
(707) 425-5666
Mailing address
2801 WATERMAN BLVD STE 290, FAIRFIELD, CA 94534-2972
(707) 425-5666

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D14185
MN
1223E0200X
Endodontics
Primary
64987
CA

Other

Enumeration date
08/31/2015
Last updated
02/07/2023
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