NPI 1194850073

Dung Q Pham, DN

Practitioner Denturist Everett, WA

Practice location

Address: 315 E Casino Rd Suite B, Everett, WA 98208-1846
Phone: (425) 355-4409

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN00000360 (WA)

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Registry record

NPI: 1194850073
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2007
Record last updated: 26 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.