DERRICK ANH VO PHAM

OCEANSIDE, CA
NPI1023632676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  106380)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-05-29
Last Update Date2021-08-30
Business Address
DERRICK ANH VO PHAM Dental Student
92055 14TH STREET
OCEANSIDE, CA 92058
Phone number: 760-725-5870
Mailing Address
DERRICK ANH VO PHAM Dental Student
4270 KIRKCALDY DR
SAN DIEGO, CA 92111-3621
Phone number: 858-999-1299