| NPI | 1578996286 |
|---|---|
| Former Legal Business Name | KEVIN THANG PHAM DDS PC |
| Entity Type | Organization |
| Authorized Contact | KEVIN THANG PHAM Owner 209-475-0869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48979) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2021-09-02 |