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1407816903
THACH PHAM
LAKELAND, FL
NPI
1407816903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN16419)
Enumeration Date
2006-03-27
Last Update Date
2022-01-05
Business Address
DR. THACH PHAM D.M.D
1417 LAKELAND HILLS BLVD STE 101
LAKELAND, FL 33805-3200
Phone number: 866-234-8534
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Mailing Address
DR. THACH PHAM D.M.D
47 5TH ST NW
WINTER HAVEN, FL 33881-4672
Phone number: 866-234-8534
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