Individual
DR. MICHAEL T PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5905 S EASTERN AVE STE 112, LAS VEGAS, NV 89119-3130
(702) 262-5693
(702) 262-5693
Mailing address
5905 S EASTERN AVE STE 112, LAS VEGAS, NV 89119-3130
(702) 262-5693
(702) 262-1301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4769
NV
Other
Enumeration date
01/23/2008
Last updated
06/08/2015
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