Individual
PHUOC HUU PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 GRASS VLY, IRVINE, CA 92602-1098
(714) 665-9260
Mailing address
3 GRASS VLY, IRVINE, CA 92602-1098
(714) 665-9260
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
45401
CA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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