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Organization
CHRISTINE THUY PHAN DMD DENTAL CORPORATION
Active
Organization
CHRISTINE THUY PHAN DMD DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE THUY PHAN DMD (DOCTOR)
(310) 675-4929
Entity
Organization
Contact information
Practice address
14221 INGLEWOOD AVE, HAWTHORNE, CA 90250-6729
(310) 675-4929
Mailing address
14221 INGLEWOOD AVE, HAWTHORNE, CA 90250-6729
(310) 675-4929
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
10/27/2020
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