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Lily Pham, DDS

Dentist, General Practice in Ladera Ranch, CA. Individual provider (NPI-1).

NPI number1164026415
StatusActive
Last updated in NPPESJan 4, 2022

Details

NPI
1164026415
Entity type
Individual (NPI-1)
Name
Lily Pham
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Nov 27, 2020
Certification date
Dec 30, 2021
Last updated
Jan 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice105422CAYes

Practice location

27412 Antonio Pkwy Ste R4
Ladera Ranch, CA 92694-2164

Phone 949-347-7083

Mailing address

31281 Via Parra
San Juan Capistrano, CA 92675-2847

Phone 714-383-2640

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Other General Practice Dentistry providers in Ladera Ranch, CA

All 13 General Practice Dentistry providers in Ladera Ranch · All 345 providers in Ladera Ranch

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