# KHANHLAM K PHAN DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rose Hill Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710238050
- **Authorized official:** DR. KHANHLAM K PHAN DDS (OWNER)
- **Authorized official phone:** (425) 822-4300

## Contact information

- **Practice address:** 8532 122ND AVE NE, KIRKLAND, WA 98033-5831
- **Practice address phone:** (425) 822-4100
- **Practice address fax:** (425) 822-4300
- **Mailing address:** 8532 122ND AVE NE, KIRKLAND, WA 98033-5831
- **Mailing address phone:** (425) 822-4100
- **Mailing address fax:** (425) 822-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60197084 | WA | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 09/26/2012