Organization · Type 2 NPI

Mary Pham DDS Dental Corporation

Pediatric Dentistry · Tustin, CA

NPI number 1245827377 Active

Practice location

13931 Carroll Way Ste C
Tustin, CA 92780-1861

Call (714) 528-8252 Map

Mailing address

2750 Harbor Blvd Ste B6
Costa Mesa, CA 92626-5121

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 Tustin

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NPI record

NPI: 1245827377
Entity type: Organization (Type 2)
Issued: Dec 22, 2020
Last updated: Feb 3, 2022
Status: Active

Other names

<unavail>
Lollipop Pediatric Dentistry & Orthodontics · doing business as
Lollipop Pediatric Dentistry & Orthodontics · doing business as

Authorized official

Dr. Mary Regina Pham, DDS MS
CEO Pediatric Dentist
(714) 528-8252

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245827377

Mary Pham DDS Dental Corporation's National Provider Identifier is 1245827377, issued on Dec 22, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tustin, CA. The record was last updated on Feb 3, 2022.