DR. Van Phan, DDS

NPI #1194396713 in Morrow, Georgia

Provider Information

NPI Number
1194396713
Entity Type
Individual
Name
DR. Van Phan, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 6, 2021
Last Updated
Dec 28, 2021

Practice Location

Address
6319 JONESBORO RD STE A
City
Morrow
State
Georgia
ZIP Code
30260-1730
Phone
(832) 420-3772

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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