DR. Deryck Pham, D.D.S.

NPI #1023001922 in Marmora, New Jersey

Provider Information

NPI Number: 1023001922
Entity Type: Individual
Name: DR. Deryck Pham, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 25, 2005
Last Updated: Aug 9, 2007

Practice Location

Address: 447 S SHORE RD
City: Marmora
State: New Jersey
ZIP Code: 08223-1292
Phone: (609) 390-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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