Individual
DR. CHRISTINE PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
2230 N LEFEBER AVE, WAUWATOSA, WI 53213-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59187
CA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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