Organization
MATT T PHAN DMD PC
Active
Other names
M Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATT PHAN DMD (OWNER)
(949) 440-1105
Entity
Organization
Contact information
Practice address
13882 NEWPORT AVE STE B, TUSTIN, CA 92780-4666
(949) 440-1105
(949) 440-1107
Mailing address
13882 NEWPORT AVE STE B, TUSTIN, CA 92780-4666
(949) 440-1105
(949) 440-1107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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