Individual provider · Type 1 NPI

Mary T. Pham, DDS

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1770947426 Active

Practice location

201 Lyons Ave
Newark, NJ 07112-2027

Call (973) 926-7642 Map

Mailing address

451 E Market St, Apt. 245
Indianapolis, IN 46204-2635

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770947426

Mary T. Pham, DDS's National Provider Identifier is 1770947426, issued on Apr 8, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Apr 8, 2016.