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NPI Code Detail

MEDICARE: GIANG BINH PHAM DDS

MEDICARE: GIANG BINH PHAM DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist4328OK

General Provider Information

NPI Number : 1154305928
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIANG BINH PHAM DDS
Provider Business Mailing Address
First Line : 4601 N CLASSEN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4815
Country : US
Telephone Number : 405-840-9966
Fax Number : 405-860-9966
Provider Business Practice Location Address
First Line : 4601 N CLASSEN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4815
Country : US
Telephone Number : 405-840-9966
Fax Number : 405-860-9966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 03/10/2016

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Directions to “ GIANG BINH PHAM DDS” Practice Location

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