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Individual

DYLAN MINH BACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
17672 COWAN, IRVINE, CA 92614-6027
(800) 544-4181
(949) 236-6646
Mailing address
17672 COWAN, IRVINE, CA 92614-6027
(800) 544-4181
(949) 236-6646

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A 107094
CA
208D00000X
General Practice Physician
A107094
CA

Other

Enumeration date
09/08/2009
Last updated
03/28/2024
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