Individual
DR. ANTHONY LE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 N HIGHWAY 190 STE 4, COVINGTON, LA 70433-5083
(985) 893-5522
Mailing address
600 N HIGHWAY 190 STE 4, COVINGTON, LA 70433-5083
(985) 893-5522
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6798
LA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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