Dawna Phan Professional Corporation

NPI #1013245695 in Las Vegas, Nevada

Provider Information

NPI Number: 1013245695
Entity Type: Organization
Organization Name: Dawna Phan Professional Corporation
Primary Specialty: Dentist
Enumeration Date: Nov 19, 2009
Last Updated: Dec 22, 2009

Practice Location

Address: 5061 E SAHARA AVE
Address 2: 1A
City: Las Vegas
State: Nevada
ZIP Code: 89142-2984
Phone: (702) 641-8868

Authorized Official

Name: DR. DAWNA PHAN, D.M.D.
Title: CEO
Phone: (714) 728-0178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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