Individual
DR. MAI-LAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1313 N 88TH ST, SEATTLE, WA 98103-2115
(360) 701-2724
Mailing address
1313 N 88TH ST, SEATTLE, WA 98103-2115
(360) 701-2724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60456502
WA
1223G0001X
General Practice Dentistry
Primary
DE60456502
WA
Other
Enumeration date
07/05/2013
Last updated
02/03/2025
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