| Hanh M Pham, DDS, Inc. | |
|
12307 Poway Rd Ste B Poway CA 92064-4245 | |
| (858) 668-3390 | |
| (858) 668-3397 |
| Full Name | Hanh M Pham, DDS, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 12307 Poway Rd Ste B, Poway, California |
| Authorized Official Name and Position | Hanh M Pham (PRESIDENT/DENTIST) |
| Authorized Official Contact | 8586683390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanh M Pham, DDS, Inc. 12307 Poway Rd Ste B Poway CA 92064-4245 Ph: (858) 668-3390 | Hanh M Pham, DDS, Inc. 12307 Poway Rd Ste B Poway CA 92064-4245 Ph: (858) 668-3390 |
| NPI Number | 1518276039 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518276039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41771 (California) | Primary |
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