Individual
ALEEAHNA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
825 E RUNDBERG LN, SUITE A1, AUSTIN, TX 78753-4808
(512) 837-0200
Mailing address
11011 SLY BEAVER DR, AUSTIN, TX 78754-6065
(954) 654-4694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27164
TX
Other
Enumeration date
07/27/2011
Last updated
03/17/2014
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