Loan Thanh Pham, DDS
Dentist, General Practice in Sacramento, CA. Individual provider (NPI-1).
NPI number1861521817
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861521817
- Entity type
- Individual (NPI-1)
- Name
- Loan Thanh Pham
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 49639 | CA | Yes |
Practice location
6830 Stockton BlvdSuite 185
Sacramento, CA 95823-2325
Phone 916-422-5628 · Fax 916-422-5648
Mailing address
6830 Stockton BlvdSuite 185
Sacramento, CA 95823-2325
Phone 916-422-5628 · Fax 916-422-5648
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