| Philong Pham Dds Dental Professional Corporation | |
|
111 Academy Ste 150 Irvine CA 92617-3053 | |
| (949) 877-7753 | |
| Not Available |
| Full Name | Philong Pham Dds Dental Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 111 Academy Ste 150, Irvine, California |
| Authorized Official Name and Position | Philong Pham (OWNER, CMO) |
| Authorized Official Contact | 3105700823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philong Pham Dds Dental Professional Corporation 111 Academy Ste 150 Irvine CA 92617-3053 Ph: () - | Philong Pham Dds Dental Professional Corporation 111 Academy Ste 150 Irvine CA 92617-3053 Ph: (949) 877-7753 |
| NPI Number | 1578299277 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578299277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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