Individual
BRIAN PHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
155 5TH ST, SAN FRANCISCO, CA 94103-2919
(415) 929-6501
Mailing address
1000 FRANKLIN ST APT 303, SAN FRANCISCO, CA 94109-6807
(310) 650-3804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111588
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
111588
CA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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