Individual
DR. NGUYEN PHAN
Active
Individual
DR. NGUYEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32395
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D011692
AZ
Other
Enumeration date
09/13/2016
Last updated
05/05/2023
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