Organization
DAVID PHAN DDS DENTAL CORPORATION
Active
Other names
Temecula Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PHAN DMD (OWNER)
(951) 501-8728
Entity
Organization
Contact information
Practice address
27699 JEFFERSON AVE STE 110, TEMECULA, CA 92590-2697
(951) 501-8728
(951) 501-8730
Mailing address
27699 JEFFERSON AVE STE 110, TEMECULA, CA 92590-2697
(951) 501-8728
(951) 501-8730
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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