Individual
CHARLENE AIKO PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
10071 ROADS END DR, GARDEN GROVE, CA 92840-1543
(310) 254-0990
Mailing address
10071 ROADS END DR, GARDEN GROVE, CA 92840-1543
(310) 254-0990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62952
CA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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