Individual
CHRISTOPHER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
13197 CENTRAL AVE STE 201, CHINO, CA 91710-4178
(909) 579-2648
Mailing address
340 S LEMON AVE # 7034, WALNUT, CA 91789-2706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105532
CA
1223P0300X
Periodontics
Primary
105532
CA
Other
Enumeration date
09/15/2020
Last updated
02/10/2021
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