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Organization
LONG NGOC PHAN, DMD, INC
Active
Organization
LONG NGOC PHAN, DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG N PHAN DMD (OWNER)
(951) 304-3044
Entity
Organization
Contact information
Practice address
40986 CALIFORNIA OAKS RD, MURRIETA, CA 92562-5747
(951) 304-3044
(951) 304-3285
Mailing address
40986 CALIFORNIA OAKS RD, MURRIETA, CA 92562-5747
(951) 304-3044
(951) 304-3285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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