PHONG CAM TA

NEW YORK, NY
NPI1861646747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223D0004X Dentist, Dentist Anesthesiologist Speciality
(Licence: NY  054360)
Additional Taxonomies122300000X Dentist
(Licence: NY  P65701)
Enumeration Date2008-11-05
Last Update Date2016-06-16
Business Address
Dr. PHONG CAM TA D.D.S.
410 W 53RD ST APT 126
NEW YORK, NY 10019-5622
Phone number: 215-527-8768
Mailing Address
Dr. PHONG CAM TA D.D.S.
410 W 53RD ST APT 126
NEW YORK, NY 10019-5693
Phone number: 215-527-8768