DR. Jenevie Pham, DDS

NPI #1356057723 in Wilmington, California

Provider Information

NPI Number: 1356057723
Entity Type: Individual
Name: DR. Jenevie Pham, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 27, 2023
Last Updated: Mar 30, 2023

Practice Location

Address: 1239 N AVALON BLVD # A
City: Wilmington
State: California
ZIP Code: 90744-2601
Phone: (714) 417-8283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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