Individual
DR. PHILONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2502 S BRISTOL ST, SANTA ANA, CA 92704-5725
(714) 656-4451
Mailing address
111 ACADEMY STE 150, IRVINE, CA 92617-3053
(310) 570-0823
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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