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Individual

DR. NGUYEN PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
7281 E EARLL DR STE 1, SCOTTSDALE, AZ 85251-7245
(480) 634-4013
(480) 634-4020
Mailing address
8121 E INDIAN BEND RD STE 128, SCOTTSDALE, AZ 85250-4820
(602) 482-7000

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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