Amy H. Pham, A Professional Dental Corporation
Clinic/Center, Dental in Oroville, CA. Organization (NPI-2).
NPI number1083005698
StatusActive
Last updated in NPPESFeb 18, 2015
Details
- NPI
- 1083005698
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy H. Pham, A Professional Dental Corporation
- Organization subpart
- No
- Enumeration date
- Feb 18, 2015
- Last updated
- Feb 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 52451 | CA | Yes |
Other names
- Prodental (Doing Business As)
Practice location
2630 Olive HwySuite A
Oroville, CA 95966-6138
Phone 530-534-6666 · Fax 530-534-1040
Mailing address
2630 Olive HwySuite A
Oroville, CA 95966-6138
Phone 530-534-6666 · Fax 530-534-1040
Authorized official
Amy H Pham
Owner
5305346666
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