Mary Pham Ikeda Dental Corporation
NPI #1518554641 in Cerritos, California
Provider Information
- NPI Number
- 1518554641
- Entity Type
- Organization
- Organization Name
- Mary Pham Ikeda Dental Corporation
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 22, 2020
- Last Updated
- Dec 22, 2020
Practice Location
- Address
- 13047 ARTESIA BLVD STE C100
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-1369
- Phone
- (714) 528-8252
Authorized Official
- Name
- DR. MARY REGINA PHAM, DDS MS
- Title
- CEO PEDIATRIC DENTIST
- Phone
- (714) 528-8252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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