Organization · Type 2 NPI
Jefferey Pham Dental Corp
Dental Clinic/Center · Huntington Beach, CA
NPI number
1144748344
Active
Practice location
7812 Warner Ave
Huntington Beach, CA 92647-4700
Fax (714) 375-3223
Mailing address
15701 Spar St
Garden Grove, CA 92843-5353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 63830 (CA) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1144748344
Jefferey Pham Dental Corp's National Provider Identifier is 1144748344, issued on Sep 7, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Huntington Beach, CA. The record was last updated on Sep 7, 2017.