Individual
DR. JESSICA T PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
44200 GARFIELD RD STE 100, CLINTON TOWNSHIP, MI 48038-1142
(586) 263-0770
Mailing address
44200 GARFIELD RD STE 100, CLINTON TOWNSHIP, MI 48038-1142
(586) 263-0770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601714
MI
Other
Enumeration date
05/18/2022
Last updated
06/06/2023
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