Organization
LAN PHAM DDS PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAN PHAM DDS, PHD (PRESIDENT)
(651) 235-0018
Entity
Organization
Contact information
Practice address
25209 NARBONNE AVE, LOMITA, CA 90717-2121
(310) 539-4166
Mailing address
25209 NARBONNE AVE, LOMITA, CA 90717-2121
(651) 235-0018
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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