Organization
CHIEU PHAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIEU PHAM D.D.S. (OWNER)
(408) 390-7228
Entity
Organization
Contact information
Practice address
12395 EL CAMINO REAL #312, SAN DIEGO, CA 92130
(858) 755-8282
Mailing address
7411 OLIVETAS AVE, LA JOLLA, CA 92037-4925
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CA
Other
Enumeration date
07/16/2012
Last updated
04/12/2022
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