Individual
ANHTUAN VAN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
7808 PACIFIC AVE STE 6, TACOMA, WA 98408-7039
(253) 617-5704
Mailing address
9518 MCKINLEY AVE, TACOMA, WA 98445-2168
(253) 617-5704
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
61521236
WA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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