| Michael Pham, DDS, MS, Inc | |
|
2801 Waterman Blvd Ste 290 Fairfield CA 94534-2972 | |
| (707) 425-5666 | |
| Not Available |
| Full Name | Michael Pham, DDS, MS, Inc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2801 Waterman Blvd Ste 290, Fairfield, California |
| Authorized Official Name and Position | Michael Anthony Ytoan Pham (PRESIDENT) |
| Authorized Official Contact | 7074255666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Pham, DDS, MS, Inc 2801 Waterman Blvd Ste 290 Fairfield CA 94534-2972 | Michael Pham, DDS, MS, Inc 2801 Waterman Blvd Ste 290 Fairfield CA 94534-2972 Ph: (707) 425-5666 |
| NPI Number | 1427702836 |
|---|---|
| Provider Enumeration Date | 02/05/2022 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427702836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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