| Shawn Pham, Dds, Pllc. | |
|
10209 Bridgeport Way Sw Ste B10 Lakewood WA 98499-2327 | |
| (253) 222-9269 | |
| Not Available |
| Full Name | Shawn Pham, Dds, Pllc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10209 Bridgeport Way Sw Ste B10, Lakewood, Washington |
| Authorized Official Name and Position | Shawn Pham (SOLE MEMBER) |
| Authorized Official Contact | 2532229269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Pham, Dds, Pllc. 650 Duvall Ave Ne Apt R1323 Renton WA 98059-4775 Ph: (253) 222-9269 | Shawn Pham, Dds, Pllc. 10209 Bridgeport Way Sw Ste B10 Lakewood WA 98499-2327 Ph: (253) 222-9269 |
| NPI Number | 1669240263 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669240263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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