Individual
ANTHONY PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4360-C E MAIN ST, VENTURA, CA 93003-2331
(805) 426-4739
Mailing address
4360-C E MAIN ST, VENTURA, CA 93003-8279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS104207
CA
Other
Enumeration date
03/17/2018
Last updated
08/25/2019
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