Individual
MRS. CATHERINE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS INC
Contact information
Practice address
8552 WESTMINSTER BLVD, WESTMINSTER, CA 92683
(714) 894-2573
Mailing address
9039 BOLSA AVE, SUITE 103, WESTMINSTER, CA 92683
(714) 379-1322
(714) 379-1324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39867
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063868974
—
CA
Enumeration date
04/11/2007
Last updated
05/09/2017
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