Individual
DONALD PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9907 WALKER ST, CYPRESS, CA 90630-3827
(714) 581-8585
Mailing address
13611 ILLINOIS ST, WESTMINSTER, CA 92683-2635
(714) 655-8604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS105531
CA
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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