| Vuong And Pham, A Dental Corporation | |
|
17150 Euclid St Ste 319 Fountain Valley CA 92708-4092 | |
| (714) 444-2274 | |
| (714) 444-2034 |
| Full Name | Vuong And Pham, A Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 17150 Euclid St Ste 319, Fountain Valley, California |
| Authorized Official Name and Position | An Hong Vuong (OWNER) |
| Authorized Official Contact | 7144442274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vuong And Pham, A Dental Corporation 17150 Euclid St Ste 319 Fountain Valley CA 92708-4092 Ph: (714) 444-2274 | Vuong And Pham, A Dental Corporation 17150 Euclid St Ste 319 Fountain Valley CA 92708-4092 Ph: (714) 444-2274 |
| NPI Number | 1043474679 |
|---|---|
| Provider Enumeration Date | 07/13/2008 |
| Last Update Date | 07/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043474679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 45419 (California) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 00067 (California) | Secondary |
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