Organization
MOLAR MAGIC, LLC-COOOLIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIEN CHI PHAM DDS (OWNER)
(520) 723-0077
Entity
Organization
Contact information
Practice address
1501 N ARIZONA BLVD, COOLIDGE, AZ 85128-3215
(520) 123-0077
(480) 393-0926
Mailing address
1501 N ARIZONA BLVD, COOLIDGE, AZ 85128-3215
(520) 123-0077
(480) 393-0926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6854
AZ
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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