Taylor Pham
Taylor Pham is a Dentist in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
368 W Washington StEast Peoria, IL 61611-2036
Phone: (309) 694-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019032199 (IL) |
|---|
Record details
| NPI number | 1124689138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 21, 2019 |
| Last updated in NPPES | June 21, 2019 |
| Mailing address | 368 W Washington St, East Peoria, IL 61611-2036 |
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