Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary R Pham DDS Dental Corporation

Organization Pediatric Dentistry · NPI 1194491738

Mary R Pham DDS Dental Corporation is a Pediatric Dentistry in Lake Forest, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

12751-21771 Lake Forest Lane Dr Ste 21
Lake Forest, CA 92630
Phone: (714) 528-8252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1194491738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Pham — Ceo/Pediatric Dentist · (714) 528-8252
Other names Lollipop Pediatric Dentistry & Orthodontics
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address1041 E Yorba Linda Blvd Ste 206, Placentia, CA 92870-3763

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