DERRICK PHAM, DENTAL STUDENT

DENTAL STUDENT

Dentist

NPI: 1023632676Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

DentistPrimary

Dentist

Code: 122300000X

106380(CA)

Contact & Hours

Via practice · 3 locations total

Address: NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, BLDG H 2005 KNIGHT LANE
JACKSONVILLE, FL 32212
Phone: (760) 725-3213

Locations (3)

Practice Location

NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL

Practice Location

714 TIVERTON AVE, LOS ANGELES, CA

Practice Location

92055 14TH STREET, OCEANSIDE, CA

Quick Facts

NPI: 1023632676
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 3

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