Individual
KIM-VY CHANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, PLLC
Contact information
Practice address
1825 E FLAMINGO RD, LAS VEGAS, NV 89119-5107
(702) 798-6684
Mailing address
1825 E FLAMINGO RD, LAS VEGAS, NV 89119-5107
(702) 798-6684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6793
NV
Other
Enumeration date
03/14/2017
Last updated
03/24/2017
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