Individual provider · Type 1 NPI

Tracy Aitho Pham, DDS

Dentist · Wildomar, CA

NPI number 1235044264 Active

Practice location

23905 Clinton Keith Rd Ste 108
Wildomar, CA 92595-7898

Mailing address

784 S Lassen Ct
Anaheim, CA 92804-3126

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X113734 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1235044264

Tracy Aitho Pham, DDS's National Provider Identifier is 1235044264, issued on Aug 14, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Wildomar, CA. The record was last updated on Aug 14, 2026.