Individual
DR. TAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8482 PERKINS RD, BATON ROUGE, LA 70810-1022
(225) 926-4133
Mailing address
10087 KINGLET DR, BATON ROUGE, LA 70809-4618
(561) 602-2490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7498
LA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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