| Thanh Pham Dds Dental Corporation | |
|
40 Saint Charles St E San Andreas CA 95249-7732 | |
| (408) 702-7632 | |
| Not Available |
| Full Name | Thanh Pham Dds Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 40 Saint Charles St E, San Andreas, California |
| Authorized Official Name and Position | Thanh Pham (PRESIDENT) |
| Authorized Official Contact | 4087027632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thanh Pham Dds Dental Corporation Po Box 746 San Andreas CA 95249-0746 Ph: (408) 702-7632 | Thanh Pham Dds Dental Corporation 40 Saint Charles St E San Andreas CA 95249-7732 Ph: (408) 702-7632 |
| NPI Number | 1093589533 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093589533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
M A C T Health Board, Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113a Highway 49, San Andreas, CA 95249 Phone: 209-755-1460 |