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Organization
PALM PHAN DENTAL GROUP INC
Active
Organization
PALM PHAN DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAU PHAN DDS (PRESIDENT)
(279) 599-4611
Entity
Organization
Contact information
Practice address
7275 E SOUTHGATE DR STE 110, SACRAMENTO, CA 95823-2610
(916) 391-7525
Mailing address
7275 E SOUTHGATE DR STE 110, SACRAMENTO, CA 95823-2610
(916) 391-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
08/12/2026
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