DR. Jeffrey Phen, DDS

NPI #1043262744 in Stockton, California

Provider Information

NPI Number: 1043262744
Entity Type: Individual
Name: DR. Jeffrey Phen, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 17, 2006
Last Updated: Jul 8, 2010

Practice Location

Address: 850 W MARCH LN
Address 2: SUITE B
City: Stockton
State: California
ZIP Code: 95207-6207
Phone: (209) 474-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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