| Diep Pham Pc | |
|
13510 Ne 84th St Ste 105 Vancouver WA 98682 | |
| (360) 726-6966 | |
| Not Available |
| Full Name | Diep Pham Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13510 Ne 84th St Ste 105, Vancouver, Washington |
| Authorized Official Name and Position | Diep Pham (GENERAL DENTIST) |
| Authorized Official Contact | 5038886077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diep Pham Pc 5210 Se 112th Ave Portland OR 97266-4182 Ph: (503) 888-6077 | Diep Pham Pc 13510 Ne 84th St Ste 105 Vancouver WA 98682 Ph: (360) 726-6966 |
| NPI Number | 1598247884 |
|---|---|
| Provider Enumeration Date | 09/04/2018 |
| Last Update Date | 09/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598247884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D9395 (Oregon) | Primary |
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