Organization
FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHY PHAM DDS (OWNER)
(510) 769-1500
Entity
Organization
Contact information
Practice address
650 CENTRAL AVE STE I, ALAMEDA, CA 94501-7803
(510) 769-1500
Mailing address
650-I CENTRAL AVE, ALAMEDA, CA 94501
(510) 769-1500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
42494
CA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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