TAN BA PHAM

VANCOUVER, WA
NPI1154479509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE00007715)
Additional Taxonomies122300000X Dentist
(Licence: OR  D7224)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Mr. TAN BA PHAM DMD
9609 E MILL PLAN BLVD
VANCOUVER, WA 98664-3478
Phone number: 360-896-3022
Mailing Address
Mr. TAN BA PHAM DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124
Phone number: 503-952-2164
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