Individual
ANTHONY PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
445 W CRAIG RD # 121-122, N LAS VEGAS, NV 89032-1230
(702) 399-9118
(702) 633-7420
Mailing address
6116 W FLAMINGO RD, LAS VEGAS, NV 89103-2280
(702) 369-5551
(702) 367-3406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4923
NV
Other
Enumeration date
10/13/2006
Last updated
04/21/2015
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