Individual
DR. ANDREW CHRISTOPHER PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
712 JAY ST, FOSSIL, OR 97830-8371
(541) 723-2725
Mailing address
14730 SE FRYE ST, HAPPY VALLEY, OR 97086-2837
(971) 533-9161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11600
OR
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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