Michael Tung Pham, Dmd, PC

NPI #1871822486 in Las Vegas, Nevada

Provider Information

NPI Number: 1871822486
Entity Type: Organization
Organization Name: Michael Tung Pham, Dmd, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 5905 S EASTERN AVE
Address 2: SUITE 112
City: Las Vegas
State: Nevada
ZIP Code: 89119-3129
Phone: (702) 262-5693

Authorized Official

Name: DR. MICHAEL TUNG PHAM, DMD
Title: DENTIST/PRESIDENT/OWNER
Phone: (702) 262-5693

Specialties & Taxonomy Codes

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

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