Organization
CELLINE THANH PHAM DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELINE THANH PHAM DDS (DENTIST)
(714) 964-2040
Entity
Organization
Contact information
Practice address
19059 BUSHARD ST, HUNTINGTON BEACH, CA 92646
(714) 964-2040
Mailing address
19059 BUSHARD ST, HUNTINGTON BEACH, CA 92646
(714) 964-2040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57310
CA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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