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Dr. Thu Trang Pham, DMD

Dentist, General Practice in Perry, FL. Individual provider (NPI-1).

NPI number1962072199
StatusActive
Last updated in NPPESMar 4, 2022

Details

NPI
1962072199
Entity type
Individual (NPI-1)
Name
Dr. Thu Trang Pham
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 29, 2021
Certification date
Mar 4, 2022
Last updated
Mar 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN26434FLYes
1223G0001X Dentist, General PracticeDN122379GA

Practice location

1204 N Center St
Perry, FL 32347-2038

Phone 678-224-5423

Mailing address

1204 N Center St
Perry, FL 32347-2038

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