Organization
DAVID PHAN DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PHAN DMD (OWNER)
(951) 324-3156
Entity
Organization
Contact information
Practice address
1137 W AVENUE M14 STE 101, PALMDALE, CA 93551-1429
(951) 324-3156
Mailing address
1137 W AVENUE M14 STE 101, PALMDALE, CA 93551-1429
(951) 324-3156
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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