Individual
DR. CHUONG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
54 MAIN ST, SUITE 6, LAKEVILLE, MA 02347-3621
(508) 923-6900
Mailing address
54 MAIN ST, SUITE 6, LAKEVILLE, MA 02347-3621
(508) 923-6900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20826
MA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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