Individual
DR. LARRY QUOCANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
320 WEST INDIAN SCHOOL RD, PHOENIX, AZ 85013
(602) 248-9445
(602) 248-9447
Mailing address
320 WEST INDIAN SCHOOL RD, PHOENIX, AZ 85013
(602) 248-9445
(602) 248-9447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5978
AZ
Other
Enumeration date
11/29/2006
Last updated
02/14/2011
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