Organization
DERIK PHAM DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK PHAM DMD (DENTIST)
(714) 589-9622
Entity
Organization
Contact information
Practice address
1467 N WANDA RD STE 155, ORANGE, CA 92867-5328
(714) 538-6730
Mailing address
1467 N WANDA RD STE 155, ORANGE, CA 92867-5328
(714) 538-6730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
10/17/2023
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