Individual
ANH THE NHAT PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 WETZEL STE A, KYLE, TX 78640-2131
(512) 256-0206
Mailing address
8410 DATAPOINT DR, SAN ANTONIO, TX 78229-3220
(714) 548-9554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41287
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2024
Last updated
05/09/2025
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