| Pham & Jan Dental Corporation | |
| 
					21029 Devonshire St Chatsworth CA 91311-2315  | |
| (818) 998-6446 | |
| (818) 998-5005 | 
| Full Name | Pham & Jan Dental Corporation | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 21029 Devonshire St, Chatsworth, California | 
| Authorized Official Name and Position | Hayden Van Pham (DENTIST) | 
| Authorized Official Contact | 8189986446 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pham & Jan Dental Corporation 4960 Sepulveda Blvd Apt 305 Sherman Oaks CA 91403-1567 Ph: () -  | Pham & Jan Dental Corporation 21029 Devonshire St Chatsworth CA 91311-2315 Ph: (818) 998-6446  | 
| NPI Number | 1952078677 | 
|---|---|
| Provider Enumeration Date | 08/30/2021 | 
| Last Update Date | 08/30/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952078677 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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