LONG P PHAM

ROCK FALLS, IL
NPI1083840441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019027905)
Enumeration Date2009-05-29
Last Update Date2012-02-06
Business Address
-- LONG P PHAM DDS
1300 W 2ND ST
ROCK FALLS, IL 61071-1005
Phone number: 815-626-2230
Mailing Address
-- LONG P PHAM DDS
1300 W 2ND ST
ROCK FALLS, IL 61071-1005
Phone number: 815-626-2230