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Organization
JASON PHAN DDS INC.
Active
Organization
JASON PHAN DDS INC.
Active
Other names
Kuwahara and Phan Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PHAN (PRESIDENT)
(310) 378-8342
Entity
Organization
Contact information
Practice address
23451 MADISON ST, STE 210, TORRANCE, CA 90505-4763
(310) 378-8342
(310) 378-4672
Mailing address
23451 MADISON ST, STE 210, TORRANCE, CA 90505-4763
(310) 378-8342
(310) 378-4672
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
58635
CA
Other
Enumeration date
02/04/2016
Last updated
09/29/2016
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