Individual
DR. THANH HOANG PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14100 N 83RD AVE STE 280, PEORIA, AZ 85381-5660
(714) 467-8672
Mailing address
7950 S DROMEDARY DR, TEMPE, AZ 85284-1348
(714) 467-8672
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
62318
CA
1223D0004X
Dental Anesthesiology
Primary
8766
AZ
Other
Enumeration date
07/02/2013
Last updated
01/11/2017
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