Individual
DR. LEE DUONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD, MS
Contact information
Practice address
4582 KATELLA AVE, LOS ALAMITOS, CA 90720-2655
(562) 598-4683
(562) 598-4693
Mailing address
4582 KATELLA AVE, LOS ALAMITOS, CA 90720-2655
(562) 598-4683
(562) 598-4693
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
55453
CA
Other
Enumeration date
02/05/2008
Last updated
04/28/2021
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