Individual
DR. ROSE C PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12770 W NORTH AVE, BUILDING A, BROOKFIELD, WI 53005-4628
(262) 782-6311
(262) 782-6770
Mailing address
12770 W NORTH AVE, BUILDING A, BROOKFIELD, WI 53005-4628
(262) 782-6311
(262) 782-6770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI 4857
WI
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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