| Pham Dds Dental Corp | |
|
8555 Station Village Ln Ste A San Diego CA 92108-6567 | |
| (619) 574-0205 | |
| (619) 574-0537 |
| Full Name | Pham Dds Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8555 Station Village Ln Ste A, San Diego, California |
| Authorized Official Name and Position | Richard K Pham (OWNER DENTIST) |
| Authorized Official Contact | 4088134107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pham Dds Dental Corp 8555 Station Village Ln Ste A San Diego CA 92108-6567 Ph: (619) 574-0205 | Pham Dds Dental Corp 8555 Station Village Ln Ste A San Diego CA 92108-6567 Ph: (619) 574-0205 |
| NPI Number | 1396577656 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 08/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396577656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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