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1457976060
THAO KIM PHAM
ALBUQUERQUE, NM
NPI
1457976060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD5269)
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
THAO KIM PHAM DMD
4201 CENTRAL AVE NW STE F1
ALBUQUERQUE, NM 87105-1669
Phone number: 505-843-7172
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Mailing Address
THAO KIM PHAM DMD
6705 VISTA DEL RANCHO RD NE
ALBUQUERQUE, NM 87113-1785
Phone number:
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