Individual
CHRISTOPHER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
200 NW 7TH AVE, FT LAUDERDALE, FL 33311-9026
(954) 759-6710
Mailing address
1608 SE 3RD AVE, THIRD FLOOR, FORT LAUDERDALE, FL 33316-2564
(954) 759-6710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 22126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019431200
—
FL
Enumeration date
07/20/2016
Last updated
01/09/2017
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