Provider Demographics
NPI:1457837940
Name:PHAM, CATHERINE MY-HANH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MY-HANH
Last Name:PHAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 E OLIVE AVE APT E
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2152
Mailing Address - Country:US
Mailing Address - Phone:408-580-7689
Mailing Address - Fax:
Practice Address - Street 1:100 N FIRST ST STE 104
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1845
Practice Address - Country:US
Practice Address - Phone:818-465-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1020431223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry