Organization
CLOVIS GENTLE DENTAL CARE
Active
Other names
Hien N Pham, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIEN N PHAM DDS (OWNER)
(559) 299-9556
Entity
Organization
Contact information
Practice address
3151 WILLOW AVE, CLOVIS, CA 93612-4717
(559) 299-9556
(559) 299-4870
Mailing address
3151 WILLOW AVE, CLOVIS, CA 93612-4717
(559) 299-9556
(559) 299-4870
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
42396
CA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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