THAI PHAM DMD PA

GIBSONTON, FL
NPI1174070361
Doing Business AsENDODONTIC INNOVATIONS
Entity TypeOrganization
Authorized ContactTHAI VU PHAM
Director
813-802-6849
Organization Subpart ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: FL  DN18558)
Enumeration Date2016-09-06
Last Update Date2022-08-26
Business Address
THAI PHAM DMD PA
13127 KINGS LAKE DR SUITE 101
GIBSONTON, FL 33534-3958
Phone number: 813-284-7958
Mailing Address
THAI PHAM DMD PA
13127 KINGS LAKE DR SUITE 101
GIBSONTON, FL 33534-3958
Phone number: 813-284-7958