Individual
DR. TAM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8 HILL AVE, KNIGHTSTOWN, IN 46148-1228
(765) 345-5677
(765) 345-5617
Mailing address
8 HILL AVE, KNIGHTSTOWN, IN 46148-1228
(765) 345-5677
(765) 345-5617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010226
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200301830A
—
IN
Enumeration date
10/11/2006
Last updated
06/16/2016
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