Organization
C PHAM & S MAUSETH DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIEU PHAM (OWNER)
(619) 391-9287
Entity
Organization
Contact information
Practice address
2015 BIRCH RD STE 103, CHULA VISTA, CA 91915-2003
(619) 391-9287
Mailing address
2015 BIRCH RD STE 103, CHULA VISTA, CA 91915-2003
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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