Organization
CHRISTINE THUY PHAN DMD DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE THUY PHAN DMD (DOCTOR)
(310) 675-4929
Entity
Organization
Contact information
Practice address
14221 INGLEWOOD AVE, HAWTHORNE, CA 90250-6729
(310) 675-4929
Mailing address
14221 INGLEWOOD AVE, HAWTHORNE, CA 90250-6729
(310) 675-4929
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
10/27/2020
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