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Individual

DR. THANH PHAM SEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1090 CRANSTON ST, CRANSTON, RI 02920-7323
(401) 942-4867
Mailing address
1090 CRANSTON ST, CRANSTON, RI 02920-7323
(401) 942-4867

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0024901
TX
1223G0001X
General Practice Dentistry
Primary
DEN03059
RI

Other

Enumeration date
07/24/2009
Last updated
10/07/2009
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