Vinh Pham, Dds, Inc. | |
11160 Warner Ave Ste 105 Fountain Valley CA 92708-4010 | |
(714) 979-0105 | |
(714) 979-0126 |
Full Name | Vinh Pham, Dds, Inc. |
---|---|
Speciality | Dentist |
Location | 11160 Warner Ave Ste 105, Fountain Valley, California |
Authorized Official Name and Position | Vinh Pham (PRESIDENT) |
Authorized Official Contact | 7149790105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vinh Pham, Dds, Inc. 11160 Warner Ave Ste 105 Fountain Valley CA 92708-4010 Ph: (714) 979-0105 | Vinh Pham, Dds, Inc. 11160 Warner Ave Ste 105 Fountain Valley CA 92708-4010 Ph: (714) 979-0105 |
NPI Number | 1235310459 |
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Provider Enumeration Date | 11/15/2007 |
Last Update Date | 11/15/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235310459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 49638 (California) | Primary |
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