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Individual

DR. PHUONG-GIANG THI PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1026 7TH ST W, SAINT PAUL, MN 55102-3828
(651) 241-1110
(651) 241-1127
Mailing address
1026 7TH ST W, ST. PAUL, MN 55102
(651) 241-1110
(651) 241-1127

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D11831
MN
1223G0001X
General Practice Dentistry
Primary
D11831
MN

Other

Enumeration date
10/19/2005
Last updated
02/12/2018
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