Organization
CLEARWATER MODERN DENTISTRY, PA
Active
Other names
Northwood Modern Dentistry, Clearwater Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MINH PHAM DDS (OWNER)
(727) 286-3588
Entity
Organization
Contact information
Practice address
2544 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-4150
(727) 286-3588
(727) 287-4727
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
04/29/2024
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