Individual
DR. ALEX PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3124 104TH ST, URBANDALE, IA 50322-3818
(515) 276-7925
Mailing address
7331 MOONLIGHT DR, JOHNSTON, IA 50131-4722
(563) 271-7296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09434
IA
Other
Enumeration date
06/22/2017
Last updated
03/23/2026
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