Thanh T Phan

NPI #1366563504 in Oxnard, California

Provider Information

NPI Number
1366563504
Entity Type
Individual
Name
Thanh T Phan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
629 COOPER RD
City
Oxnard
ZIP Code
93030-5427
Phone
(805) 486-6383

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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