Pauline Lee Phan, Professional Dental Corp.
NPI #1053773689 in Fountain Valley, California
Provider Information
- NPI Number
- 1053773689
- Entity Type
- Organization
- Organization Name
- Pauline Lee Phan, Professional Dental Corp.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 23, 2016
- Last Updated
- Mar 23, 2016
Practice Location
- Address
- 11703 EDINGER AVE
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-1208
- Phone
- (714) 775-1934
Authorized Official
- Name
- DR. PAULINE LEE PHAN, DDS
- Title
- PRESIDENT
- Phone
- (714) 775-1934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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