| Gabriella Tn Pham Dds Inc | |
|
891 Baker St Suite A12 Costa Mesa CA 92626-4361 | |
| (714) 850-9999 | |
| Not Available |
| Full Name | Gabriella Tn Pham Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 891 Baker St, Costa Mesa, California |
| Authorized Official Name and Position | Gabriella Thanh-ngoc Pham (PRESIDENT) |
| Authorized Official Contact | 7148509999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriella Tn Pham Dds Inc 891 Baker St Suite A12 Costa Mesa CA 92626-4361 Ph: (714) 850-9999 | Gabriella Tn Pham Dds Inc 891 Baker St Suite A12 Costa Mesa CA 92626-4361 Ph: (714) 850-9999 |
| NPI Number | 1295081107 |
|---|---|
| Provider Enumeration Date | 07/29/2012 |
| Last Update Date | 07/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295081107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 42761 (California) | Primary |
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