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1326658519
DERIK QUAN PHAM
ORANGE, CA
NPI
1326658519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 105165)
Enumeration Date
2020-08-03
Last Update Date
2023-10-30
Business Address
Dr. DERIK QUAN PHAM DMD
1467 N WANDA RD STE 155
ORANGE, CA 92867-5328
Phone number: 714-538-6730
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Mailing Address
Dr. DERIK QUAN PHAM DMD
1467 N WANDA RD STE 155
ORANGE, CA 92867-5328
Phone number: 714-538-6730
Copy
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