Mai Pham, DMD
Dentist, General Practice in Santa Ana, CA. Individual provider (NPI-1).
NPI number1245643154
StatusActive
Last updated in NPPESDec 28, 2024
Details
- NPI
- 1245643154
- Entity type
- Individual (NPI-1)
- Name
- Mai Pham
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2014
- Certification date
- Dec 28, 2024
- Last updated
- Dec 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 64449 | CA | Yes |
| 122300000X | Dentist | 29878 | TX |
Practice location
2414 S Fairview StSuite #101
Santa Ana, CA 92704-5318
Phone 281-298-2433
Mailing address
2414 S Fairview StSuite #101
Santa Ana, CA 92704-5318
Phone 714-617-4294 · Fax 714-242-4070
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