Individual
DR. DENNIS H PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
47875 CALEO BAY DR # A101, LA QUINTA, CA 92253-6386
(760) 564-1300
Mailing address
29 ALICANTE CIR, RANCHO MIRAGE, CA 92270-1770
(720) 935-5704
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100207
CA
Other
Enumeration date
11/21/2013
Last updated
04/04/2018
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