Individual
NANCY D PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
88 TULLY RD, STE 113, SAN JOSE, CA 95111-1923
(408) 971-2885
(408) 971-2831
Mailing address
88 TULLY RD, STE 113, SAN JOSE, CA 95111-1923
(408) 971-2885
(408) 971-2831
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
48846
CA
Other
Enumeration date
08/17/2006
Last updated
06/24/2008
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