Organization
JASON PHAN DDS INC.
Active
Other names
Kuwahara and Phan Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PHAN (PRESIDENT)
(310) 378-8342
Entity
Organization
Contact information
Practice address
23451 MADISON ST, STE 210, TORRANCE, CA 90505-4763
(310) 378-8342
(310) 378-4672
Mailing address
23451 MADISON ST, STE 210, TORRANCE, CA 90505-4763
(310) 378-8342
(310) 378-4672
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
58635
CA
Other
Enumeration date
02/04/2016
Last updated
09/29/2016
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