BENNIE VAN PHAM

FOUNTAIN VALLEY, CA
NPI1891931762
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  58021)
Additional Taxonomies122300000X Dentist
(Licence: NY  054267)
Enumeration Date2008-12-26
Last Update Date2019-12-11
Business Address
DR. BENNIE VAN PHAM D.D.S.
18426 BROOKHURST ST STE 101
FOUNTAIN VALLEY, CA 92708-6777
Phone number: 714-965-5255
Mailing Address
DR. BENNIE VAN PHAM D.D.S.
8981 ACACIA AVE
GARDEN GROVE, CA 92841-4613
Phone number: