Diep Ngoc Pham, DMD

NPI #1790007565 in Portland, Oregon

Provider Information

NPI Number: 1790007565
Entity Type: Individual
Name: Diep Ngoc Pham, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Feb 22, 2010
Last Updated: Feb 22, 2010

Practice Location

Address: 5210 SE 112TH AVE
City: Portland
State: Oregon
ZIP Code: 97266-4182
Phone: (503) 760-1228

Specialties & Taxonomy Codes

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

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