| Anthony Tai Q. Pham, Dds, Inc. | |
|
4240 Kearny Mesa Rd Suite #117 San Diego CA 92111-3777 | |
| (858) 499-8911 | |
| (858) 499-8913 |
| Full Name | Anthony Tai Q. Pham, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4240 Kearny Mesa Rd, San Diego, California |
| Authorized Official Name and Position | Anthony Tai Quang Pham (PRESIDENT) |
| Authorized Official Contact | 8584998911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Tai Q. Pham, Dds, Inc. 4240 Kearny Mesa Rd Suite #117 San Diego CA 92111-3777 Ph: (858) 499-8911 | Anthony Tai Q. Pham, Dds, Inc. 4240 Kearny Mesa Rd Suite #117 San Diego CA 92111-3777 Ph: (858) 499-8911 |
| NPI Number | 1043412745 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 09/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043412745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41665 (California) | Primary |
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