Organization
DAWNA PHAN PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWNA PHAN D.M.D. (CEO)
(714) 728-0178
Entity
Organization
Contact information
Practice address
5061 E SAHARA AVE, 1A, LAS VEGAS, NV 89142-2984
(702) 641-8868
(702) 641-8865
Mailing address
5061 E SAHARA AVE, 1A, LAS VEGAS, NV 89142-2984
(702) 641-8868
(702) 641-8865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5483
NV
Other
Enumeration date
11/19/2009
Last updated
12/22/2009
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