Anthony Tai Q. Pham, Dds, Inc.

NPI 1043412745 - Dentist - 1223G0001X

NPI Details
NPI 1043412745
Enumeration Date 06/04/2007
Last Updated 09/09/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANTHONY TAI QUANG ANTHONY TAI
Position PRESIDENT
Phone (858) 499-8911
Fax (858) 499-8913
Practice Location
4240 KEARNY MESA RD
SUITE #117
SAN DIEGO CA, 92111-3777, US
Phone (858) 499-8911
Fax (858) 499-8913
Business Location
4240 KEARNY MESA RD
SUITE #117
SAN DIEGO CA, 92111-3777, US
Phone (858) 499-8911
Fax (858) 499-8913
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 41665
Remove 1043412745 NPI Number
 

According to our database, Anthony Tai Q. Pham, Dds, Inc. NPI is 1043412745, taxonomy code is 1223G0001X and license number is 41665, license state is located at California. Anthony Tai Q. Pham, Dds, Inc. physically located at 4240 Kearny Mesa Rd, San Diego CA, 92111-3777. NPI Number 1033115704 has the healthcare provider type.

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1043412745 NPI number is provided on an as is basis without warranty of any kind. 1043412745 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Tai Q. Pham, Dds, Inc. are for informational purposes only.