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1588784201
ANNIE T PHAM
BEAVERTON, OR
NPI
1588784201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D8511)
Enumeration Date
2007-03-29
Last Update Date
2011-08-01
Business Address
Dr. ANNIE T PHAM D.M.D.
3780 SW HALL BLVD
BEAVERTON, OR 97005-2050
Phone number: 503-646-1588
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Mailing Address
Dr. ANNIE T PHAM D.M.D.
3315 SW VESTA CT
PORTLAND, OR 97219-9229
Phone number: 503-646-1588
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