Individual
DR. ANHTHU DEANA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9290 SIERRA COLLEGE BLVD, SUITE #300, ROSEVILLE, CA 95661-5991
(916) 788-8450
(916) 788-8452
Mailing address
9290 SIERRA COLLEGE BLVD, SUITE #300, ROSEVILLE, CA 95661-5991
(916) 788-8450
(916) 788-8452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44762
CA
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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