Individual
HANTHAO THI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
263 COUNTRY CLUB DR STE 103, STANSBURY PARK, UT 84074-9602
(435) 210-5110
Mailing address
263 COUNTRY CLUB DR STE 103, STANSBURY PARK, UT 84074-9602
(435) 210-5110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14289380-9926
UT
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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