Derrick Pham DDS Professional Corporation DBA Lv Dental

NPI #1811623283 in Las Vegas, Nevada

Provider Information

NPI Number: 1811623283
Entity Type: Organization
Organization Name: Derrick Pham DDS Professional Corporation DBA Lv Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 28, 2022
Last Updated: Jul 28, 2022

Practice Location

Address: 4705 S DURANGO DR STE 115
City: Las Vegas
State: Nevada
ZIP Code: 89147-8162
Phone: (714) 417-0246

Authorized Official

Name: DR. DERRICK PHAM, DDS
Title: PRESIDENT
Phone: (714) 417-0246

Specialties & Taxonomy Codes

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

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