Thach Pham, D.M.D Valid NPI
Individual provider · Dentist · Lakeland, FL
- NPI
- 1407816903
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- DN16419 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-03-27
- Last updated
- 2022-01-05
Practice location
1417 Lakeland Hills Blvd Ste 101
Lakeland, FL 33805-3200
(866) 234-8534