Elizabeth Pham DMD

NPI 1205135522 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205135522
Gender Female
Enumeration Date 03/25/2011
Last Updated 08/20/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
4502 MACCORKLE AVE SE STE C
CHARLESTON WV, 25304-1835, US
Phone (304) 926-9260
Fax
Business Location
137 SUMMIT RIDGE RD
HURRICANE WV, 25526-9211, US
Phone (334) 538-1390
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Elizabeth Pham DMD NPI is 1205135522, taxonomy code is 390200000X Elizabeth Pham DMD physically located at 4502 Maccorkle Ave Se Ste C, Charleston WV, 25304-1835. NPI Number Elizabeth Pham DMD has the Individual type.

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1205135522 NPI number is provided on an as is basis without warranty of any kind. 1205135522 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Pham DMD are for informational purposes only.