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Organization
HAI PHAN DDS INC
Active
Organization
HAI PHAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAI THANH PHAN DDS (OWNER)
(408) 270-4211
Entity
Organization
Contact information
Practice address
1569 LEXANN AVE, SUITE #108, SAN JOSE, CA 95121-1794
(408) 270-4211
(408) 270-4213
Mailing address
1569 LEXANN AVE, SUITE #108, SAN JOSE, CA 95121-1794
(408) 270-4211
(408) 270-4213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46671
CA
Other
Enumeration date
10/12/2012
Last updated
12/28/2012
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