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Contact Information

THIEN C PHAM, DDS
1864 E FLORENCE BLVD
SUITE #5
CASA GRANDE, AZ85222
 Phone: 520-876-5200
 Fax: 480-302-7958
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for THIEN C PHAM · (Male)

NPI # 1104840909
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/26/2006
Last updated 07/09/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 6854
  • CO License # 8023
  • GA License # DN012573
  • IN License # 12010795A
  • MA License # 21449
  • NM License # DD2095
  • SC License # 4176
  • VA License # 0401411092
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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