Search › Massachusetts › 207R00000X
Dominique Pham, MD
NPI 1891776662 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1996 Centre St
West Roxbury, MA 02132 - Phone
- (617) 469-0470
- Organisation at this address
- Gustavo Perdomo Dmd Pc
Reliant Dental Group Pc
Pham Medical Associates Pc
Teamwork Physical Therapy,IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RG0100X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-01-14
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 Massachusetts