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Individual

DR. UYEN PHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11800 ABERDEEN ST NE STE 110, BLAINE, MN 55449-4812
(763) 786-4280
Mailing address
11800 ABERDEEN ST NE STE 110, BLAINE, MN 55449-4812

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13626
MN

Other

Enumeration date
12/08/2015
Last updated
02/15/2018
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