Derick Pham

NPI #1093247074 in Bell Gardens, California

Provider Information

NPI Number: 1093247074
Entity Type: Individual
Name: Derick Pham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Mar 30, 2017
Last Updated: May 21, 2019

Practice Location

Address: 6840 EASTERN AVE STE A
City: Bell Gardens
State: California
ZIP Code: 90201-3902
Phone: (323) 513-0842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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