NICKY PHAM

MOORE, OK
NPI1518658079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  7750)
Enumeration Date2023-05-16
Last Update Date2023-05-16
Business Address
NICKY PHAM
811 SW 19TH ST STE A
MOORE, OK 73160-2890
Phone number: 405-703-5161
Mailing Address
NICKY PHAM
400 RIVERWALK TER STE 250
JENKS, OK 74037-5619
Phone number:
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