Thao Thi Thu Phan, DDS
NPI #1164267282 in Livingston, Tennessee
Provider Information
- NPI Number
- 1164267282
- Entity Type
- Individual
- Name
- Thao Thi Thu Phan, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 29, 2024
- Last Updated
- Jun 29, 2024
Practice Location
- Address
- 508 N CHURCH ST # 100
- City
- Livingston
- State
- Tennessee
- ZIP Code
- 38570-1539
- Phone
- (931) 823-3754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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