Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 103621 | CA |
NPI | 1235685124 |
---|---|
Provider Name | Dr. Janelle Pham Comfort |
First Address | Santa Ana, CA 92705-3535 |
Second Address | Santa Ana, CA 92705-3535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2016 |
Last Update Date | 19/08/2020 |