Organization
YVES PHAM DMD PLLC
Active
Other names
Northern Edge Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY B TRINH (OFFICE MANAGER)
(714) 400-6339
Entity
Organization
Contact information
Practice address
281 W CENTENNIAL PKWY # 100-101, NORTH LAS VEGAS, NV 89084-1349
(714) 400-6339
Mailing address
1350 N TOWN CENTER DR UNIT 2073, LAS VEGAS, NV 89144-0586
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
03/10/2019
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