Individual
DR. JEREMIAH LEE PHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1905 S MARSHALL ST, BOONE, IA 50036-5401
(515) 432-9338
Mailing address
4224 NEWLAND DR, CEDAR FALLS, IA 50613-1635
(319) 202-5061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08766
IA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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