Individual
DR. ANH-NGOC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
298 VANCE RD STE 100, VALLEY PARK, MO 63088-1597
(636) 861-0807
Mailing address
1042 KENNEDY LN, BALLWIN, MO 63011-3586
(314) 814-1107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2014017652
MO
Other
Enumeration date
06/16/2014
Last updated
07/23/2025
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