Individual
BENJAMIN PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1651 SCHILLINGER RD N, SEMMES, AL 36575-7409
(251) 706-7960
Mailing address
6621 WOODSIDE CT E, THEODORE, AL 36582-6067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007267-C1
AL
Other
Enumeration date
01/08/2024
Last updated
01/30/2024
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