DERICK PHAM

BELL GARDENS, CA
NPI1093247074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  103577)
Enumeration Date2017-03-30
Last Update Date2019-05-21
Business Address
DERICK PHAM
6840 EASTERN AVE STE A
BELL GARDENS, CA 90201-3902
Phone number: 323-513-0842
Mailing Address
DERICK PHAM
1023 MAPLE AVE
HARTFORD, CT 06114-2733
Phone number: 714-457-0064