Thanh Pham

NPI #1700947660 in Dade City, Florida

Provider Information

NPI Number: 1700947660
Entity Type: Individual
Name: Thanh Pham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 13, 2006
Last Updated: May 24, 2016

Practice Location

Address: 37944 PASCO AVE
City: Dade City
State: Florida
ZIP Code: 33525-4202
Phone: (352) 518-2000

Specialties & Taxonomy Codes

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

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