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Individual

ANNIE N. PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3700 THOMAS RD, STE. 203, SANTA CLARA, CA 95054-2063
(408) 235-7600
(408) 235-7650
Mailing address
3700 THOMAS RD, STE. 203, SANTA CLARA, CA 95054-2063
(408) 235-7600
(408) 235-7650

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47775
CA

Other

Enumeration date
06/01/2009
Last updated
06/01/2009
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