Organization
KRISTINE H. PHAM, DMD, PLLC
Active
Other names
NOVA Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE H. PHAM DMD (DENTIST/OWNER)
(360) 546-5208
Entity
Organization
Contact information
Practice address
1300 NE 134TH ST, VANCOUVER, WA 98685-2747
(360) 546-5208
Mailing address
1300 NE 134TH ST, VANCOUVER, WA 98685-2747
(360) 546-5208
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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