Individual
DR. VINCENT PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
929 MANHATTAN BLVD STE D, HARVEY, LA 70058-4605
(504) 208-2904
Mailing address
4209 BEN MICHAEL DR, MARRERO, LA 70072-5472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7541
LA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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