DERRICK TUAN PHAM

HUNTINGTON BEACH, CA
NPI1588011373
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  100233)
Enumeration Date2016-05-21
Last Update Date2016-05-21
Business Address
-- DERRICK TUAN PHAM D.D.S
19720 BEACH BLVD STE A
HUNTINGTON BEACH, CA 92648-2987
Phone number: 714-593-1010
Mailing Address
-- DERRICK TUAN PHAM D.D.S
23591 ROCKFIELD BLVD STE F
LAKE FOREST, CA 92630-1753
Phone number: 714-417-0246
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