Individual
PAULINE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10129 CROSSING WAY STE 400, DENHAM SPRINGS, LA 70726-5892
(225) 788-1400
Mailing address
4758 SHERWOOD DR, NEW ORLEANS, LA 70128-3118
(504) 722-0545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7129
LA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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