Individual
DR. LILLIAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
302 SUFFIELD ST, AGAWAM, MA 01001-1749
(413) 786-0085
Mailing address
125 BREMEN ST, SPRINGFIELD, MA 01108-2973
(413) 309-8551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1858335
MA
Other
Enumeration date
05/13/2019
Last updated
08/30/2019
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