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Jackline Pham, DDS
NPI 1992835235 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4344 Convoy Street
Suite S
San Diego, CA 92111 - Phone
- (858) 616-6468
- Fax
- (858) 616-6478
- Organisation at this address
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Retina Institute Of California Medical Group, A California Medical ParInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-23
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 California