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1275151805
ALISA PHAM
SANTA ANA, CA
NPI
1275151805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-07-09
Last Update Date
2020-07-09
Business Address
ALISA PHAM DDS
120 KENTON DR
SANTA ANA, CA 92704-1400
Phone number: 714-360-4470
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Mailing Address
ALISA PHAM DDS
120 KENTON DR
SANTA ANA, CA 92704-1400
Phone number: 714-360-4470
Copy
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