Organization
EMILYPHAMDENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY PHAM (MEMBER)
(561) 232-4524
Entity
Organization
Contact information
Practice address
723 SW PORT SAINT LUCIE BLVD., SUITE 102, PORT ST LUCIE, FL 34953
(772) 207-1990
Mailing address
723 SW PORT SAINT LUCIE BLVD., SUITE 102, PORT ST LUCIE, FL 34953
(772) 207-1990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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