| Thi M. Pham, D.D.S. | |
|
7400 Southland Blvd. Suite 112 Orlando FL 32809 | |
| (407) 812-4511 | |
| (407) 812-4588 |
| Full Name | Thi M. Pham, D.D.S. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7400 Southland Blvd., Orlando, Florida |
| Authorized Official Name and Position | Thi Minh Pham (PRESIDENT) |
| Authorized Official Contact | 4078124511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thi M. Pham, D.D.S. 7400 Southland Blvd. Suite 112 Orlando FL 32809 Ph: (407) 812-4511 | Thi M. Pham, D.D.S. 7400 Southland Blvd. Suite 112 Orlando FL 32809 Ph: (407) 812-4511 |
| NPI Number | 1851519110 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851519110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN14922 (Florida) | Primary |
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