| Dennis H. Pham Dds Dental Corporation | |
|
47875 Caleo Bay Dr A101 La Quinta CA 92253-6386 | |
| (760) 564-1300 | |
| Not Available |
| Full Name | Dennis H. Pham Dds Dental Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 47875 Caleo Bay Dr, La Quinta, California |
| Authorized Official Name and Position | Dennis Pham (PRESIDENT) |
| Authorized Official Contact | 7209355704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis H. Pham Dds Dental Corporation 47875 Caleo Bay Dr A101 La Quinta CA 92253-6386 Ph: (760) 564-1300 | Dennis H. Pham Dds Dental Corporation 47875 Caleo Bay Dr A101 La Quinta CA 92253-6386 Ph: (760) 564-1300 |
| NPI Number | 1053852319 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053852319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 100207 (California) | Primary |
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