Quyen Manh Pham DDS

NPI 1225113897 - Dentist - 122300000X

NPI Details
NPI 1225113897
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
103 ADKISSON WAY
TAFT CA, 93268-3602, US
Phone (661) 763-5133
Fax (661) 763-5440
Business Location
103 ADKISSON WAY
TAFT CA, 93268-3602, US
Phone (661) 763-5133
Fax (661) 763-5440
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 46925
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According to our database, Quyen Manh Pham DDS NPI is 1225113897, taxonomy code is 122300000X and license number is 46925, license state is located at California. Quyen Manh Pham DDS physically located at 103 Adkisson Way, Taft CA, 93268-3602. NPI Number Quyen Manh Pham DDS has the Individual type.

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1225113897 NPI number is provided on an as is basis without warranty of any kind. 1225113897 is maintained by the National Plan & Provider Enumeration System. The contents of Quyen Manh Pham DDS are for informational purposes only.