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1891931762
BENNIE VAN PHAM
FOUNTAIN VALLEY, CA
NPI
1891931762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 58021)
Additional Taxonomies
122300000X Dentist
(Licence: NY 054267)
Enumeration Date
2008-12-26
Last Update Date
2019-12-11
Business Address
DR. BENNIE VAN PHAM D.D.S.
18426 BROOKHURST ST STE 101
FOUNTAIN VALLEY, CA 92708-6777
Phone number: 714-965-5255
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Mailing Address
DR. BENNIE VAN PHAM D.D.S.
8981 ACACIA AVE
GARDEN GROVE, CA 92841-4613
Phone number:
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