Organization
EMERGENCY TOOTH DOCTOR VANCOUVER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS T PHAM D.M.D (PRESIDENT/DENTIST)
(503) 641-2200
Entity
Organization
Contact information
Practice address
14665 SW MILLIKAN WAY, BEAVERTON, OR 97003-2999
(503) 641-2200
(503) 641-2220
Mailing address
400 W FOURTH PLAIN BLVD, VANCOUVER, WA 98660-2141
(503) 641-2200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60190120
WA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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