Search › New Jersey › 122300000X
Deryck Pham, D.D.S
NPI 1023001922 · on the registry since 2005
Practice
- Address
- 447 S Shore Rd
Marmora, NJ 08223 - Phone
- (609) 390-0111
- Organisation at this address
- Kalniz Dental Partners Of New Jersey Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey