Organization
CHIEU PHAM DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIEU PHAM DDS (OWNER)
(619) 421-5437
Entity
Organization
Contact information
Practice address
2015 BIRCH ROAD, STE 103, CHULA VISTA, CA 91915
(619) 421-5437
(619) 924-8494
Mailing address
2015 BIRCH ROAD STE 103, CHULA VISTA, CA 91915
(619) 421-5437
(619) 924-8494
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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