Organization
MARK PHAM, DMD, PC
Active
Other names
Obery Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PHAM D.M.D. (DIRECTOR)
(617) 820-6447
Entity
Organization
Contact information
Practice address
57 OBERY ST, SUITE 2, PLYMOUTH, MA 02360-2480
(617) 820-6447
Mailing address
57 OBERY ST, SUITE 2, PLYMOUTH, MA 02360
(617) 820-6447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21073
MA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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