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1114165966
JOHN PHAM
CHEHALIS, WA
NPI
1114165966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00008608)
Additional Taxonomies
122300000X Dentist
(Licence: OR D6843)
Enumeration Date
2009-02-02
Last Update Date
2009-02-02
Business Address
Dr. JOHN PHAM D.D.S.
1515 NW LOUISIANA AVE
CHEHALIS, WA 98532-1748
Phone number: 360-740-6212
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Mailing Address
Dr. JOHN PHAM D.D.S.
1515 NW LOUISIANA AVE
CHEHALIS, WA 98532-1748
Phone number: 360-740-6212
Copy
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