| Christopher Cuong Pham Dds A Professional Dental Corporation | |
|
2987 Coronado Ave San Diego CA 92154-2180 | |
| (619) 421-2155 | |
| Not Available |
| Full Name | Christopher Cuong Pham Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2987 Coronado Ave, San Diego, California |
| Authorized Official Name and Position | Christine Mckenna Sherman (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7147240845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Cuong Pham Dds A Professional Dental Corporation 1415 Ridgeback Rd Ste 23 Chula Vista CA 91910-6990 Ph: (619) 421-2155 | Christopher Cuong Pham Dds A Professional Dental Corporation 2987 Coronado Ave San Diego CA 92154-2180 Ph: (619) 421-2155 |
| NPI Number | 1376290825 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376290825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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