THIEN QUANG PHAM

BLAINE, MN
NPI1104273085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MN  D13682)
Enumeration Date2016-05-19
Last Update Date2016-05-19
Business Address
Dr. THIEN QUANG PHAM D.D.S.
12904 CENTRAL AVE NE
BLAINE, MN 55434-4147
Phone number: 651-621-4515
Mailing Address
Dr. THIEN QUANG PHAM D.D.S.
12904 CENTRAL AVE NE
BLAINE, MN 55434-4147
Phone number: 651-621-4515
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