DR. Thien Quang Pham, D.D.S.

NPI #1104273085 in Blaine, Minnesota

Provider Information

NPI Number
1104273085
Entity Type
Individual
Name
DR. Thien Quang Pham, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
May 19, 2016
Last Updated
May 19, 2016

Practice Location

Address
12904 CENTRAL AVE NE
City
Blaine
ZIP Code
55434-4147
Phone
(651) 621-4515

Specialties & Taxonomy Codes

Specialty
Dentist

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