Individual
MATTHEW PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3573 SUNSET BLVD, WEST COLUMBIA, SC 29169-3043
(803) 973-4530
Mailing address
101 MANNING DR, 149 BRAUER HALL,, CHAPEL HILL, NC 27514
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10002
SC
Other
Enumeration date
04/29/2015
Last updated
11/22/2024
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