| Chieu Pham Dental Corporation | |
|
2015 Birch Road Ste 103 Chula Vista CA 91915 | |
| (619) 421-5437 | |
| (619) 924-8494 |
| Full Name | Chieu Pham Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2015 Birch Road, Chula Vista, California |
| Authorized Official Name and Position | Chieu Pham (OWNER) |
| Authorized Official Contact | 6194215437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chieu Pham Dental Corporation 2015 Birch Road Ste 103 Chula Vista CA 91915 Ph: (619) 421-5437 | Chieu Pham Dental Corporation 2015 Birch Road Ste 103 Chula Vista CA 91915 Ph: (619) 421-5437 |
| NPI Number | 1366014375 |
|---|---|
| Provider Enumeration Date | 07/11/2021 |
| Last Update Date | 07/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366014375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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