Long P Pham, DDS

NPI #1083840441 in Rock Falls, Illinois

Provider Information

NPI Number: 1083840441
Entity Type: Individual
Name: Long P Pham, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 29, 2009
Last Updated: Feb 6, 2012

Practice Location

Address: 1300 W 2ND ST
City: Rock Falls
State: Illinois
ZIP Code: 61071-1005
Phone: (815) 626-2230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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