Individual
QUOC-HIEP PHAN DAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTAL HYGIENIST
Contact information
Practice address
13691 CYPRESS ST, GARDEN GROVE, CA 92843-3230
(714) 251-3793
Mailing address
13691 CYPRESS ST, GARDEN GROVE, CA 92843-3230
(714) 251-3793
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
31952
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31952
DENTAL HYGIENE
CA
Enumeration date
03/15/2019
Last updated
03/15/2019
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