Individual
MISS ALLISON JEANINE PHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
160 N LURING DR, SUITE F, PALM SPRINGS, CA 92262-6840
(760) 325-2503
Mailing address
25805 SUNRISE WAY, LOMA LINDA, CA 92354-3845
(909) 796-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58719
CA
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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