Individual
PHILLIP H ZHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4927 34TH AVE S, MINNEAPOLIS, MN 55417-1552
(612) 729-6150
(612) 722-8817
Mailing address
4927 34TH AVE S, MINNEAPOLIS, MN 55417-1552
(612) 729-6150
(612) 722-8817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12043
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280495600
MEDICAL ASSISTANCE NUMBER
MN
Enumeration date
02/13/2006
Last updated
02/18/2010
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