Elizabeth My Anh Phan, DMD

NPI #1053968891 in Tigard, Oregon

Provider Information

NPI Number: 1053968891
Entity Type: Individual
Name: Elizabeth My Anh Phan, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 26, 2019
Last Updated: Aug 26, 2019

Practice Location

Address: 9900 SW GREENBURG RD STE 240
City: Tigard
State: Oregon
ZIP Code: 97223-5454
Phone: (971) 206-7133

Specialties & Taxonomy Codes

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

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