Individual
HONG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601-2228
(510) 535-4453
(510) 535-4494
Mailing address
2956 ROLLINGWOOD DR, SAN PABLO, CA 94806-3227
(510) 734-3333
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
75326
CA
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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