| Thanh K Pham Dds Inc. | |
|
355 East 21st Ste B San Bernardino CA 92404 | |
| (909) 881-5787 | |
| (909) 881-6855 |
| Full Name | Thanh K Pham Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 355 East 21st Ste B, San Bernardino, California |
| Authorized Official Name and Position | Thanh K Pham (DENTIST) |
| Authorized Official Contact | 9098875787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thanh K Pham Dds Inc. 355 East 21st Ste B San Bernardino CA 92404 Ph: (909) 881-5787 | Thanh K Pham Dds Inc. 355 East 21st Ste B San Bernardino CA 92404 Ph: (909) 881-5787 |
| NPI Number | 1336315688 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336315688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44352 (California) | Primary |
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