Jennifer Pham, D.M.D, M.S

NPI #1801193982 in Chantilly, Virginia

Provider Information

NPI Number: 1801193982
Entity Type: Individual
Name: Jennifer Pham, D.M.D, M.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D, M.S
Enumeration Date: Feb 25, 2011
Last Updated: Feb 25, 2011

Practice Location

Address: 42550 STIRES DR
City: Chantilly
State: Virginia
ZIP Code: 20152-6655
Phone: (703) 629-5088

Specialties & Taxonomy Codes

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

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