Individual
THIEN-KIM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17694 1ST AVE S UNIT B, BURIEN, WA 98148-1747
(206) 767-7777
Mailing address
1108 S 36TH PL, RENTON, WA 98055-5884
(253) 241-1334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60983788
WA
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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