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1659151306
TAN PHAM
BATON ROUGE, LA
NPI
1659151306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: LA 7498)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
DR. TAN PHAM DMD
8482 PERKINS RD
BATON ROUGE, LA 70810-1022
Phone number: 225-926-4133
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Mailing Address
DR. TAN PHAM DMD
10087 KINGLET DR
BATON ROUGE, LA 70809-4618
Phone number: 561-602-2490
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