DR. Kevin Phan, DDS

NPI #1740012202 in Suwanee, Georgia

Provider Information

NPI Number: 1740012202
Entity Type: Individual
Name: DR. Kevin Phan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 14, 2024
Last Updated: Nov 13, 2024

Practice Location

Address: 2855 LAWRENCEVILLE SUWANEE RD STE 360
City: Suwanee
State: Georgia
ZIP Code: 30024-3596
Phone: (678) 482-2197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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