Organization
THI PHAN DENTAL CORP
Active
Other names
APPLE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
THI BINH PHAN DDS (PRESIDENT/OWNER)
(619) 236-9549
Entity
Organization
Contact information
Practice address
1540 FERN ST, SAN DIEGO, CA 92102-1536
(619) 236-9549
(619) 234-0311
Mailing address
1540 FERN ST, SAN DIEGO, CA 92102-1536
(619) 236-9549
(619) 234-0311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
40484
CA
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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