Individual
DR. TUAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
224 HAILI ST, BLDG B, HILO, HI 96720-2975
(703) 819-9875
Mailing address
224 HAILI ST, BLDG B, HILO, HI 96720-2975
(703) 819-9875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057743
NY
Other
Enumeration date
06/17/2015
Last updated
07/22/2015
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