Individual
DR. JASON THAI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
23451 MADISON ST, STE 210, TORRANCE, CA 90505-4763
(310) 378-8342
(310) 378-4672
Mailing address
23451 MADISON ST, STE 210, TORRANCE, CA 90505-4763
(310) 378-8342
(310) 378-4672
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
58635
CA
Other
Enumeration date
08/14/2009
Last updated
08/17/2016
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