Individual
TRUC THANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, DT
Contact information
Practice address
895 7TH ST E, SAINT PAUL, MN 55106-3871
(651) 602-7500
Mailing address
1005 GRAMSIE RD APT 307, SHOREVIEW, MN 55126-3126
(651) 206-4072
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DY148
MN
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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