Phen Dental Professional Corporation
NPI #1457926057 in Lincoln, California
Provider Information
- NPI Number
- 1457926057
- Entity Type
- Organization
- Organization Name
- Phen Dental Professional Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 25, 2021
- Last Updated
- May 25, 2021
Practice Location
- Address
- 109 FERRARI RANCH RD STE 100
- City
- Lincoln
- State
- California
- ZIP Code
- 95648-7423
- Phone
- (916) 253-7000
Authorized Official
- Name
- JENNIFER PHEN
- Title
- OFFICE MANAGER
- Phone
- (916) 337-5158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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