Jacqueline Tuyen Pham, DMD Valid NPI

Individual provider · General Practice Dentistry · Chamblee, GA

NPI

1609096049

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DN0112567 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-26

Last updated

2007-07-08