DR. Bao Pham, D.M.D.

NPI #1780706226 in Tigard, Oregon

Provider Information

NPI Number: 1780706226
Entity Type: Individual
Name: DR. Bao Pham, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10115 SW NIMBUS AVE
Address 2: SUITE 350
City: Tigard
State: Oregon
ZIP Code: 97223-4349
Phone: (503) 684-7868

Specialties & Taxonomy Codes

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

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