Thang Ba Pham DDS

NPI 1073547550 - Dentist - 1223G0001X

NPI Details
NPI 1073547550
Gender Male
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6400-K SEVEN CORNERS PLACE
SUITE K
FALLSCHURCH VA, 22044, US
Phone (703) 237-7820
Fax (703) 237-6699
Business Location
6400-K SEVEN CORNERS PLACE
SUITE K
FALLSCHURCH VA, 22044, US
Phone (703) 237-7820
Fax (703) 237-6699
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number VA 6915
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According to our database, Dr. Thang Ba Pham DDS NPI is 1073547550, taxonomy code is 1223G0001X and license number is VA 6915, license state is located at Virginia. Thang Ba Pham DDS physically located at 6400-k Seven Corners Place, Fallschurch VA, 22044. NPI Number Thang Ba Pham DDS has the Individual type.

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1073547550 NPI number is provided on an as is basis without warranty of any kind. 1073547550 is maintained by the National Plan & Provider Enumeration System. The contents of Thang Ba Pham DDS are for informational purposes only.