Individual
CHIEU L PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12395 EL CAMINO REAL STE 218, SAN DIEGO, CA 92130-3084
(408) 390-7228
Mailing address
12395 EL CAMINO REAL #218, SAN DIEGO, CA 92130
(408) 390-7228
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
52916
CA
Other
Enumeration date
02/12/2007
Last updated
06/24/2009
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