Organization
MAI T. PHAN, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAI T PHAN DMD (PRESIDENT)
(508) 785-0356
Entity
Organization
Contact information
Practice address
30 SPRINGDALE AVE, DOVER, MA 02030-2374
(508) 785-0356
(508) 785-0974
Mailing address
30 SPRINGDALE AVE, P.O. BOX 726, DOVER, MA 02030-2374
(508) 785-0356
(508) 785-0974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19603
MA
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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