LAN THANH PHAM

NORCROSS, GA
NPI1235231481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  12144)
Enumeration Date2006-09-01
Last Update Date2007-07-08
Business Address
Mr. LAN THANH PHAM DDS
5775 JIMMY CARTER BLVD GOOD CARE DENTAL STE 440
NORCROSS, GA 30071
Phone number: 770-447-4702
Mailing Address
Mr. LAN THANH PHAM DDS
1900 BRANDIE ELAINE AVE
SNELLVILLE, GA 30078
Phone number: 770-736-7619