Derick Pham Dmd, INC

NPI #1245828219 in Los Alamitos, California

Provider Information

NPI Number: 1245828219
Entity Type: Organization
Organization Name: Derick Pham Dmd, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 6, 2021
Last Updated: Jan 6, 2021

Practice Location

Address: 3612 FLORISTA ST
City: Los Alamitos
State: California
ZIP Code: 90720-2423
Phone: (562) 598-4207

Authorized Official

Name: DR. DERICK PHAM, DMD
Title: OWNER DENTIST
Phone: (631) 693-9040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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