La-Pham and Kansagra Dental Corporation

NPI #1336675800 in Long Beach, California

Provider Information

NPI Number: 1336675800
Entity Type: Organization
Organization Name: La-Pham and Kansagra Dental Corporation
Primary Specialty: Dentist
Enumeration Date: May 3, 2017
Last Updated: May 3, 2017

Practice Location

Address: 4578 ATLANTIC AVE
City: Long Beach
State: California
ZIP Code: 90807
Phone: (310) 579-6465

Authorized Official

Name: DR. KINH LA-PHAM, DDS
Title: OWNER DENTIST
Phone: (310) 579-6465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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