Individual
AN-VI DUC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2420 PLYMOUTH ST, MARION, IA 52302-5300
(319) 531-4377
Mailing address
2420 PLYMOUTH ST, MARION, IA 52302-5300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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