Individual
MAI J. PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
30 SPRINGDALE AVE, DOVER, MA 02030
(508) 785-0356
(508) 785-0974
Mailing address
PO BOX 726, 30 SPRINGDALE AVE, DOVER, MA 02030
(508) 785-0356
(508) 785-0974
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19603
MA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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