Individual
ASHLI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 MING AVE, BAKERSFIELD, CA 93309-5005
(661) 323-1111
Mailing address
PO BOX 10059, BAKERSFIELD, CA 93389-0059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
110598
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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