Organization
ANN PHAM D.D.S., P.C.
Active
Other names
Miracle Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN T. A. PHAM D.D.S. (PRESIDENT)
(702) 456-0056
Entity
Organization
Contact information
Practice address
4210 W CRAIG RD, SUITE #104, NORTH LAS VEGAS, NV 89032-2734
(702) 436-5222
(702) 873-5222
Mailing address
8001 N DURANGO DR, SUITE 100, LAS VEGAS, NV 89143
(702) 456-0056
(702) 456-0052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4078
NV
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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