Mary R Pham Dds Dental Corporation
Orthodontics and Dentofacial Clinic
12751-21771 Lake Forest Lane Dr., Suite 21, Lake Forest
California, 92630
714-528-8252 Maps & DirectionsMary R Pham Dds Dental Corporation is a Orthodontics and Dentofacial Clinic in Lake Forest, California. It is located at 12751-21771 Lake Forest Lane Dr., Suite 21, Lake Forest, CA and its contact number is 714-528-8252. The authorized person for Mary R Pham Dds Dental Corporation is Dr. Mary Regina Pham
who is Ceo/pediatric Dentist of the clinic and their contact number is 714-528-8252.
Mary R Pham Dds Dental Corporation Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Mary R Pham Dds Dental Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mary R Pham Dds Dental Corporation |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 12751-21771 Lake Forest Lane Dr., Suite 21, Lake Forest,
California, 92630 |
| Phone: | 714-528-8252 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mary Regina Pham |
| Position: | Ceo/pediatric Dentist |
| Contact Number: | 714-528-8252 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mary R Pham Dds Dental Corporation clinic are as mentioned below.
| NPI Number: | 1194491738 |
| NPI Enumeration Date: | 23 Aug, 2021 |
| NPI Last Update On: | 25 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary R Pham Dds Dental Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | | | Primary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary R Pham Dds Dental Corporation
1041 E Yorba Linda Blvd Ste 206,
Placentia, California |
| Zip: | 92870-3763 |
| Phone Number: | 714-528-8252 |
Patients can reach Mary R Pham Dds Dental Corporation at
12751-21771 Lake Forest Lane Dr., Suite 21, Lake Forest, California or can
call to book an appointment on 714-528-8252.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.