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1841734126
KELLY PHAM
SAN JOSE, CA
NPI
1841734126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA 24883)
Enumeration Date
2016-12-06
Last Update Date
2016-12-06
Business Address
KELLY PHAM RDH
1211 MERIDIAN AVE
SAN JOSE, CA 95125-5210
Phone number: 408-445-3400
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Mailing Address
KELLY PHAM RDH
1211 MERIDIAN AVE
SAN JOSE, CA 95125-5210
Phone number: 408-445-3400
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