Callandra Phan, DMD

NPI #1043199201 in La Puente, California

Provider Information

NPI Number: 1043199201
Entity Type: Individual
Name: Callandra Phan, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DMD
Enumeration Date: Aug 30, 2025
Last Updated: Aug 30, 2025

Practice Location

Address: 533 GIANO AVE
City: La Puente
State: California
ZIP Code: 91744-5816
Phone: (626) 678-5186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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