Individual
DR. SON G PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8735 TRAUTWEIN RD, RIVERSIDE, CA 92508
(951) 776-1330
(951) 776-1388
Mailing address
2860 MICHELLE DRIVE, 2ND FLOOR, IRVINE, CA 92606
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
49975
CA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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