Anthony Phan, DMD

NPI #1700976552 in N Las Vegas, Nevada

Provider Information

NPI Number: 1700976552
Entity Type: Individual
Name: Anthony Phan, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 13, 2006
Last Updated: Apr 21, 2015

Practice Location

Address: 445 W CRAIG RD # 121-122
City: N Las Vegas
State: Nevada
ZIP Code: 89032-1230
Phone: (702) 399-9118

Specialties & Taxonomy Codes

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

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