Thien Quoc Pham, DDS Valid NPI
Individual provider · Dentist · Pearland, TX
- NPI
- 1649465659
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 23502 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-09-12
- Last updated
- 2014-12-09
Practice location
10223 Broadway St Ste P-248
Pearland, TX 77584-7880
(646) 801-3859