Individual
ALISA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
155 5TH ST, SAN FRANCISCO, CA 94103-2919
(714) 360-4470
Mailing address
120 KENTON DR, SANTA ANA, CA 92704-1400
(714) 360-4470
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DDS106012
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2020
Last updated
04/02/2025
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