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DR. QUAN MINH PHAM D.D.S

>> Dentist >> Dental Providers

Registrant NPI Number: 1932235652

Individual Registrant:
DR. QUAN MINH PHAM D.D.S
Gender: M
Not Sole Proprietor

Location and contact information for practice:
734 BEAR MOUNTAIN BLVD  ARVIN, CA 93203-1414 US
Tel: 702-327-6685  Fax: --

Contact information for business:
310 N OLYMPIA PL  ANAHEIM, CA 92806-3631 US
Tel: 702-327-6685  Fax: --

Registration Information:
NPI: 1932235652
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA50175

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
002202095NV05




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