Individual
DR. PHUNG KIM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4700 42ND AVE SW, SUITE 460, SEATTLE, WA 98116-4591
(206) 767-4851
(206) 764-0928
Mailing address
1400 LAKE WASHINGTON BLVD N, E404, RENTON, WA 98056-2564
(425) 255-1040
(425) 255-1050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
50508
CA
1223G0001X
General Practice Dentistry
Primary
DE00010493
WA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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