Individual
DR. PETER CONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1409 13TH ST, ALTOONA, PA 16601-3409
(814) 944-6611
(814) 944-9570
Mailing address
1409 13TH ST, ALTOONA, PA 16601-3409
(814) 944-6611
(814) 944-9570
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036673
PA
Other
Enumeration date
09/16/2006
Last updated
02/04/2011
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