DR. Matthew John Phan, DDS

NPI #1164944146 in Roselle, Illinois

Provider Information

NPI Number
1164944146
Entity Type
Individual
Name
DR. Matthew John Phan, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 12, 2017
Last Updated
Jul 18, 2024

Practice Location

Address
21 W IRVING PARK RD
ZIP Code
60172-1117
Phone
(805) 813-9567

Specialties & Taxonomy Codes

Specialty
Dentist

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