Thanh Pham
Dentist, General Practice in Dade City, FL. Individual provider (NPI-1).
NPI number1700947660
StatusActive
Last updated in NPPESMay 24, 2016
Details
- NPI
- 1700947660
- Entity type
- Individual (NPI-1)
- Name
- Thanh Pham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2006
- Last updated
- May 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN15319 | FL | Yes |
Practice location
37944 Pasco AveDade City, FL 33525-4202
Phone 352-518-2000 · Fax 352-567-0218
Mailing address
37944 Pasco AveDade City, FL 33525-4202
Phone 352-518-2000 · Fax 352-567-0218
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