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Organization

APOLLO BEACH MODERN DENTISTRY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MINH PHAM DDS (OWNER DENTIST)
(813) 771-0329
Entity
Organization

Contact information

Practice address
6182 N US HIGHWAY 41 UNIT A, APOLLO BEACH, FL 33572
(813) 771-0329
(813) 437-2499
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
11/09/2021
Last updated
11/09/2021
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