Khanh Phan, D.D.S.

NPI #1770867020 in Colleyville, Texas

Provider Information

NPI Number: 1770867020
Entity Type: Individual
Name: Khanh Phan, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 5, 2011
Last Updated: Oct 5, 2011

Practice Location

Address: 5708 COLLEYVILLE BLVD
Address 2: STE. A
City: Colleyville
State: Texas
ZIP Code: 76034-6064
Phone: (817) 428-8575

Specialties & Taxonomy Codes

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

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