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1063420255
STACY MAI PHAM
RIVERSIDE, CA
NPI
1063420255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 39461)
Enumeration Date
2006-08-03
Last Update Date
2020-01-27
Business Address
-- STACY MAI PHAM DDS
4000 TYLER ST
RIVERSIDE, CA 92503
Phone number: 951-687-4155
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Mailing Address
-- STACY MAI PHAM DDS
4000 TYLER ST
RIVERSIDE, CA 92503
Phone number: 951-687-4155
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