| Derick Pham Dmd, Inc | |
|
3612 Florista St Los Alamitos CA 90720-2423 | |
| (562) 598-4207 | |
| Not Available |
| Full Name | Derick Pham Dmd, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3612 Florista St, Los Alamitos, California |
| Authorized Official Name and Position | Derick Pham (OWNER DENTIST) |
| Authorized Official Contact | 6316939040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derick Pham Dmd, Inc 3612 Florista St Los Alamitos CA 90720-2423 Ph: (562) 598-4207 | Derick Pham Dmd, Inc 3612 Florista St Los Alamitos CA 90720-2423 Ph: (562) 598-4207 |
| NPI Number | 1245828219 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245828219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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