Individual
D. YOUNG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1415 RIDGEBACK RD, SUITE 23, CHULA VISTA, CA 91910-6932
(619) 421-2155
(619) 482-3939
Mailing address
1415 RIDGEBACK RD, SUITE 23, CHULA VISTA, CA 91910-6932
(619) 421-2155
(619) 482-3939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54326
CA
Other
Enumeration date
08/10/2005
Last updated
01/13/2010
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