Individual
DR. PHILONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61152
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61152
CA
Other
Enumeration date
01/06/2014
Last updated
08/14/2024
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