Individual
THU THUY THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2136 E LA VIEVE LN, TEMPE, AZ 85284-3542
(480) 216-5804
Mailing address
2136 E LA VIEVE LN, TEMPE, AZ 85284-3542
(480) 216-5804
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
27517
CA
124Q00000X
Dental Hygienist
Primary
H06644
AZ
Other
Enumeration date
07/17/2013
Last updated
03/08/2017
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