THAI V PHAM

GIBSONTON, FL
NPI1215261581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: FL  DN18558)
Enumeration Date2009-09-19
Last Update Date2022-06-30
Business Address
-- THAI V PHAM DMD
13127 KINGS LAKE DR SUITE 101
GIBSONTON, FL 33534-3958
Phone number: 813-284-7958
Mailing Address
-- THAI V PHAM DMD
13127 KINGS LAKE DR SUITE 101
GIBSONTON, FL 33534-3958
Phone number: 813-284-7958