Individual
DR. MARY REGINA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1041 E YORBA LINDA BLVD STE 206, PLACENTIA, CA 92870-3760
(714) 528-8252
Mailing address
1041 E YORBA LINDA BLVD STE 206, PLACENTIA, CA 92870-3760
(714) 528-8252
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60222
CA
Other
Enumeration date
03/09/2009
Last updated
12/22/2020
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