Individual
DR. ALISON THUY TIEN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1804 N LIMA ST, BURBANK, CA 91505-1526
(818) 429-7157
Mailing address
1804 N LIMA ST, BURBANK, CA 91505-1526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS108415
CA
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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