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Organization

VINH D PHAN, DDS

Active
Other names
vpdentalcare
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINH PHAN DDS (OWNER)
(916) 714-5422
Entity
Organization

Contact information

Practice address
9320 ELK GROVE BLVD, 170, ELK GROVE, CA 95624-5062
(916) 714-5422
(916) 714-5429
Mailing address
9320 ELK GROVE BLVD, 170, ELK GROVE, CA 95624-5062
(916) 714-5422
(916) 714-5429

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45754
CA

Other

Enumeration date
09/19/2007
Last updated
09/19/2007
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