Deryck Pham D.D.S.

NPI 1023001922 - Dentist - 122300000X

NPI Details
NPI 1023001922
Gender Male
Enumeration Date 08/25/2005
Last Updated 08/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
447 S SHORE RD
MARMORA NJ, 08223-1292, US
Phone (609) 390-0111
Fax
Business Location
447 S SHORE RD
MARMORA NJ, 08223-1292, US
Phone (609) 390-0111
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 052396-1
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According to our database, Dr. Deryck Pham D.D.S. NPI is 1023001922, taxonomy code is 122300000X and license number is 052396-1, license state is located at New York. Deryck Pham D.D.S. physically located at 447 S Shore Rd, Marmora NJ, 08223-1292. NPI Number Deryck Pham D.D.S. has the Individual type.

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1023001922 NPI number is provided on an as is basis without warranty of any kind. 1023001922 is maintained by the National Plan & Provider Enumeration System. The contents of Deryck Pham D.D.S. are for informational purposes only.