Pham, Tan Ba
Pham, Tan Ba is an individual health care provider with primary practice located at 9609 E Mill Plan Blvd , Vancouver WA 98664-3478. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pham, Tan Ba can be contacted via phone (360) 896-3022.Contact Information
Primary practice address
9609 E Mill Plan Blvd
Vancouver WA 98664-3478
Phone: (360) 896-3022
Fax: (360) 896-4185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00007715 | Washington |
| Dental Providers / Dentist | 122300000X | D7224 | Oregon |
Profile Details
| NPI number | 1154479509 |
|---|---|
| LBN Legal business name | Pham, Tan Ba |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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