Organization
PHAM & JAN DENTAL CORPORATION
Active
Other names
Chatsworth Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAYDEN VAN PHAM DDS (DENTIST)
(818) 998-6446
Entity
Organization
Contact information
Practice address
21029 DEVONSHIRE ST, CHATSWORTH, CA 91311-2315
(818) 998-6446
(818) 998-5005
Mailing address
4960 SEPULVEDA BLVD APT 305, SHERMAN OAKS, CA 91403-1567
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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