Organization
DAVENPORT MODERN DENTISTRY, PA
Active
Other names
Davenport Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH B PHAM DDS (OWNER/DDS)
(863) 777-9890
Entity
Organization
Contact information
Practice address
1159 POSNER BLVD, DAVENPORT, FL 33837-3664
(863) 777-9890
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
06/14/2022
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