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1093002321
TAM VAN PHAM
GARDEN GROVE, CA
NPI
1093002321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 60476)
Enumeration Date
2011-07-07
Last Update Date
2012-10-31
Business Address
-- TAM VAN PHAM
14221 EUCLID ST STE E
GARDEN GROVE, CA 92843-4991
Phone number: 714-200-9381
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Mailing Address
-- TAM VAN PHAM
9922 ACACIA AVE # 17
GARDEN GROVE, CA 92841-5261
Phone number: 714-200-9381
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