Organization
PETER C. PHAM, DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMELA BROOKE PHAM (OFFICE MANAGER)
(814) 366-2008
Entity
Organization
Contact information
Practice address
1409 13TH ST, ALTOONA, PA 16601-3409
(814) 944-6611
Mailing address
1409 13TH ST, ALTOONA, PA 16601-3409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036673
PA
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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