Individual
ANDREW PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
680 E STATE ROAD 50, CLERMONT, FL 34711-3184
(352) 241-4500
Mailing address
680 E STATE ROAD 50, CLERMONT, FL 34711-3184
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN23530
FL
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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