DR. Kevin Thang Pham I, DDS
NPI #1003900705 in Stockton, California
Provider Information
- NPI Number
- 1003900705
- Entity Type
- Individual
- Name
- DR. Kevin Thang Pham I, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Mar 25, 2021
Practice Location
- Address
- 7746 LORRAINE AVE STE 204
- City
- Stockton
- State
- California
- ZIP Code
- 95210-4234
- Phone
- (209) 475-0869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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