Organization · Type 2 NPI
Mary R Pham DDS Dental Corporation
Pediatric Dentistry · Lake Forest, CA
NPI number
1194491738
Active
Practice location
12751-21771 Lake Forest Lane Dr., Suite 21
Lake Forest, CA 92630
Mailing address
1041 E Yorba Linda Blvd Ste 206
Placentia, CA 92870-3763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Lake Forest
About NPI 1194491738
Mary R Pham DDS Dental Corporation's National Provider Identifier is 1194491738, issued on Aug 23, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lake Forest, CA. The record was last updated on Aug 25, 2021.