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1225770605
ANTHONY TUAN PHAM
WEST COVINA, CA
NPI
1225770605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA D105543)
Enumeration Date
2022-04-07
Last Update Date
2023-12-19
Business Address
ANTHONY TUAN PHAM
2658 E GARVEY AVE S
WEST COVINA, CA 91791-2113
Phone number: 951-582-1304
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Mailing Address
ANTHONY TUAN PHAM
2658 E GARVEY AVE S
WEST COVINA, CA 91791-2113
Phone number:
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