Individual
BINH THANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4971 ORANGE AVE, CYPRESS, CA 90630-2805
(714) 826-4640
(714) 826-4672
Mailing address
7911 WILLOW LN, LA PALMA, CA 90623-1662
(714) 797-6798
(714) 826-4672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53099
CA
1223G0001X
General Practice Dentistry
53099
CA
Other
Enumeration date
08/25/2005
Last updated
09/23/2022
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