Paul Phan, DDS

NPI #1235385972 in Anthem, Arizona

Provider Information

NPI Number: 1235385972
Entity Type: Individual
Name: Paul Phan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 13, 2008
Last Updated: Aug 13, 2008

Practice Location

Address: 42407 N VISION WAY
Address 2: 101
City: Anthem
State: Arizona
ZIP Code: 85086-1480
Phone: (623) 551-7500

Specialties & Taxonomy Codes

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

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