Individual
DR. JOLEEN THI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
14243 US-90, BOUTTE, LA 70039
(985) 758-5110
Mailing address
3101 HOUMA HIGHLANDS CT, HOUMA, LA 70360-6909
(504) 635-5125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7479
LA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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