THAO PHUONG PHAM

ATLANTA, GA
NPI1093373920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: GA  DN015848)
Enumeration Date2019-06-05
Last Update Date2023-10-19
Business Address
Dr. THAO PHUONG PHAM DMD
3979 BUFORD HWY NE STE 122
ATLANTA, GA 30345-1683
Phone number: 470-702-9000
Mailing Address
Dr. THAO PHUONG PHAM DMD
5395 JIMMY CARTER BLVD # 700-A
NORCROSS, GA 30093-1502
Phone number: 770-559-3932