# DAWNA PHAN PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013245695
- **Authorized official:** DR. DAWNA PHAN D.M.D. (CEO)
- **Authorized official phone:** (714) 728-0178

## Contact information

- **Practice address:** 5061 E SAHARA AVE, 1A, LAS VEGAS, NV 89142-2984
- **Practice address phone:** (702) 641-8868
- **Practice address fax:** (702) 641-8865
- **Mailing address:** 5061 E SAHARA AVE, 1A, LAS VEGAS, NV 89142-2984
- **Mailing address phone:** (702) 641-8868
- **Mailing address fax:** (702) 641-8865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5483 | NV | Yes |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 12/22/2009