DR. Kimchi Le Phan, DDS

NPI #1467702522 in Sammamish, Washington

Provider Information

NPI Number: 1467702522
Entity Type: Individual
Name: DR. Kimchi Le Phan, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 17, 2012
Last Updated: Sep 17, 2012

Practice Location

Address: 22727 SE 29TH ST
City: Sammamish
State: Washington
ZIP Code: 98075-9532
Phone: (425) 392-2103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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