National Provider Identifier Database

DIEP PHAM PC
Dental


Contact Information

DIEP PHAM PC
13510 NE 84TH ST STE 105
VANCOUVER, WA98682
Phone: 360-726-6966
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for DIEP PHAM PC

NPI Number 1598247884
Legal business name
LBN
DIEP PHAM PC
Authorized official DIEP PHAM - (GENERAL DENTIST)
Entity Organization
Organization subpart No
Enumeration date 09/04/2018
Last updated 09/05/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: D9395

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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