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1861521817
LOAN THANH PHAM
SACRAMENTO, CA
NPI
1861521817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 49639)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- LOAN THANH PHAM DDS
6830 STOCKTON BLVD SUITE 185
SACRAMENTO, CA 95823-2325
Phone number: 916-422-5628
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Mailing Address
-- LOAN THANH PHAM DDS
6830 STOCKTON BLVD SUITE 185
SACRAMENTO, CA 95823-2325
Phone number: 916-422-5628
Copy
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