Individual
DR. ANTHONY MINHDUC HUY PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5060 SUNRISE BLVD STE A1, FAIR OAKS, CA 95628-4944
(916) 622-5681
Mailing address
5041 CHICO DR, ROSEVILLE, CA 95747-4277
(916) 622-5681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102834
CA
Other
Enumeration date
07/22/2016
Last updated
05/11/2020
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