DIEP NGOC PHAM

PORTLAND, OR
NPI1790007565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D9395)
Enumeration Date2010-02-22
Last Update Date2010-02-22
Business Address
-- DIEP NGOC PHAM DMD
5210 SE 112TH AVE
PORTLAND, OR 97266-4182
Phone number: 503-760-1228
Mailing Address
-- DIEP NGOC PHAM DMD
5210 SE 112TH AVE
PORTLAND, OR 97266-4182
Phone number: 503-760-1228
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