Nicky Pham

NPI #1518658079 in Moore, Oklahoma

Provider Information

NPI Number
1518658079
Entity Type
Individual
Name
Nicky Pham
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
May 16, 2023
Last Updated
May 16, 2023

Practice Location

Address
811 SW 19TH ST STE A
City
Moore
ZIP Code
73160-2890
Phone
(405) 703-5161

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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