Individual
KHANH ANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1834 S JOSEY LN STE 100, CARROLLTON, TX 75006-7517
(972) 241-1962
Mailing address
1834 S JOSEY LN STE 100, CARROLLTON, TX 75006-7517
(214) 418-0209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487753-02
—
TX
Enumeration date
10/03/2006
Last updated
08/27/2024
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