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1770947426
MARY T. PHAM
NEWARK, NJ
NPI
1770947426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-04-08
Last Update Date
2016-04-08
Business Address
-- MARY T. PHAM DDS
201 LYONS AVE
NEWARK, NJ 07112-2027
Phone number: 973-926-7642
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Mailing Address
-- MARY T. PHAM DDS
451 E MARKET ST APT. 245
INDIANAPOLIS, IN 46204-2635
Phone number: 817-557-7386
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