Organization
PHAM AND MAUSETH DDS INC
Active
Other names
4S Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHIEU PHAM (PRESIDENT)
(408) 390-7228
Entity
Organization
Contact information
Practice address
16918 DOVE CANYON RD STE 203, SAN DIEGO, CA 92127-3457
(858) 451-5437
Mailing address
16918 DOVE CANYON RD STE 203, SAN DIEGO, CA 92127-3457
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CA
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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