Individual
NHAT M PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(978) 327-5151
Mailing address
2 INWOOD DR APT 3006, WOBURN, MA 01801-5281
(617) 470-4550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NA
MA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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