Grant And Pham Dental Corporation

NPI 1457588055 - Dentist - 1223P0221X

NPI Details
NPI 1457588055
Enumeration Date 06/22/2009
Last Updated 07/13/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RICHARD RICHARD
Position OWNER
Phone (619) 443-8447
Fax
Practice Location
9710 WINTER GARDENS BLVD
LAKESIDE CA, 92040-3866, US
Phone (619) 443-8447
Fax
Business Location
9710 WINTER GARDENS BLVD
LAKESIDE CA, 92040-3866, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State California
License Number 52916
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According to our database, Grant And Pham Dental Corporation NPI is 1457588055, taxonomy code is 1223P0221X and license number is 52916, license state is located at California. Grant And Pham Dental Corporation physically located at 9710 Winter Gardens Blvd, Lakeside CA, 92040-3866. NPI Number 1033115704 has the healthcare provider type.

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1457588055 NPI number is provided on an as is basis without warranty of any kind. 1457588055 is maintained by the National Plan & Provider Enumeration System. The contents of Grant And Pham Dental Corporation are for informational purposes only.