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DR. QUAN MINH PHAM D.D.S
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1932235652
Individual Registrant:DR. QUAN MINH PHAM D.D.S
Gender: M
Not Sole Proprietor
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: --
Tel: 702-327-6685 Fax: --
Contact information for business:
310 N OLYMPIA PL ANAHEIM, CA 92806-3631 US
Tel: 702-327-6685 Fax: --
Tel: 702-327-6685 Fax: --
Registration Information:
NPI: 1932235652
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 50175 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 002202095 | NV | 05 |
