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General NPI Number Information
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NPI Number | 1255800868
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Entity Type | Organization
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Legal Business Name | YVES PHAM DMD PLLC
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 03/10/2019
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Provider Practice Location Address
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Address Line | 281 W CENTENNIAL PKWY # 100-101
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-1349
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Country | US
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Telephone | 714-400-6339
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 N TOWN CENTER DR UNIT 2073
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City | LAS VEGAS
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State | NV
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Zip | 89144-0586
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. GARRY B TRINH
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Credential |
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Telephone | 714-400-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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