Provider Demographics
NPI:1750902029
Name:IBRITE DENTAL OFFICE OF CELINE T PHAM DDS INC
Entity type:Organization
Organization Name:IBRITE DENTAL OFFICE OF CELINE T PHAM DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CELINE
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-251-3851
Mailing Address - Street 1:5210 W 1ST ST STE F
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-3000
Mailing Address - Country:US
Mailing Address - Phone:714-554-6878
Mailing Address - Fax:714-554-2957
Practice Address - Street 1:5210 W 1ST ST STE F
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-3000
Practice Address - Country:US
Practice Address - Phone:714-554-6878
Practice Address - Fax:714-554-2957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental