Individual
DR. CHRISTINE THUY-ANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
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
1223G0001X
General Practice Dentistry
Primary
59075
CA
Other
Enumeration date
03/24/2006
Last updated
10/27/2020
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