Individual
PAUL PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
42407 N VISION WAY, 101, ANTHEM, AZ 85086-1480
(623) 551-7500
(623) 551-2400
Mailing address
42407 N VISION WAY, 101, ANTHEM, AZ 85086-1480
(623) 551-7500
(623) 551-2400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7637
AZ
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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