Individual
MRS. DAO KIM PHAM-NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
39525 LOS ALAMOS RD STE D, MURRIETA, CA 92563-5027
(951) 696-7600
Mailing address
21015 NORTH HAMPTON WAY, LAKE FOREST, CA 92630
(949) 923-0111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60295
CA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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