Individual
ANN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
28550 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-2719
(248) 557-5557
Mailing address
28550 SOUTHFIELD RD, LATHRUP VILLAGE, MI 48076-2719
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021417
MI
122300000X
Dentist
29932
TX
Other
Enumeration date
06/03/2014
Last updated
04/14/2015
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