DR. Thao Phuong Pham, DMD

NPI #1093373920 in Atlanta, Georgia

Provider Information

NPI Number: 1093373920
Entity Type: Individual
Name: DR. Thao Phuong Pham, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 5, 2019
Last Updated: Oct 19, 2023

Practice Location

Address: 3979 BUFORD HWY NE STE 122
City: Atlanta
State: Georgia
ZIP Code: 30345-1683
Phone: (470) 702-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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