Organization
ANTHONY PHAM DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TUAN PHAM DDS (DENTIST)
(951) 582-1304
Entity
Organization
Contact information
Practice address
2658 E GARVEY AVE S, WEST COVINA, CA 91791-2113
(626) 967-4600
Mailing address
13697 LOWELL ST, EASTVALE, CA 92880-3744
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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