Individual
DR. ERIC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4940 LINGLESTOWN RD, HARRISBURG, PA 17112-9515
(717) 901-7045
Mailing address
660 BOAS ST APT 910, HARRISBURG, PA 17102-1321
(703) 869-8111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044803
PA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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