Phung K Pham Dds Inc | |
1727 N Fresno St Fresno CA 93703-3031 | |
(559) 227-5239 | |
(559) 227-9262 |
Full Name | Phung K Pham Dds Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 1727 N Fresno St, Fresno, California |
Authorized Official Name and Position | Phung Kim Pham (CEO) |
Authorized Official Contact | 5592275239 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phung K Pham Dds Inc 1727 N Fresno St Fresno CA 93703-3031 Ph: (559) 227-5239 | Phung K Pham Dds Inc 1727 N Fresno St Fresno CA 93703-3031 Ph: (559) 227-5239 |
NPI Number | 1356499560 |
---|---|
Provider Enumeration Date | 01/07/2007 |
Last Update Date | 04/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356499560 | NPI | - | NPPES |
D52453 | Other | CA | RENDERING PROVIDER NUMBER |
G94117-01 | Other | CA | BILLING PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 52453 (California) | Primary |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
Kamal Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6319 N Fresno St Ste 101, Fresno, CA 93710 Phone: 559-438-6177 |