Individual
KHUE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 PLEASANT HILL RD, DULUTH, GA 30096-5899
(770) 381-7878
Mailing address
5800 CARLTON WAY, STONE MOUNTAIN, GA 30087-2700
(404) 723-1951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123526
GA
Other
Enumeration date
06/17/2024
Last updated
01/27/2025
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