Organization
CHRISTOPHER CUONG PHAM DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MCKENNA SHERMAN (DIRECTOR OF OPERATIONS)
(714) 724-0845
Entity
Organization
Contact information
Practice address
2987 CORONADO AVE, SAN DIEGO, CA 92154-2180
(619) 421-2155
Mailing address
1415 RIDGEBACK RD STE 23, CHULA VISTA, CA 91910-6990
(619) 421-2155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/07/2022
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