Individual
DR. MARK PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
57 OBERY ST, SUITE 2, PLYMOUTH, MA 02360-2480
(508) 927-4676
(508) 927-4675
Mailing address
57 OBERY ST, SUITE 2, PLYMOUTH, MA 02360-2480
(508) 927-4676
(508) 927-4675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21073
MA
Other
Enumeration date
04/26/2006
Last updated
08/15/2013
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