DR. Bang Tai Phan, D.D.S.
NPI #1851438154 in Porter Ranch, California
Provider Information
- NPI Number
- 1851438154
- Entity Type
- Individual
- Name
- DR. Bang Tai Phan, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11200 CORBIN AVE
- Address 2
- SUITE 208
- City
- Porter Ranch
- State
- California
- ZIP Code
- 91326-4120
- Phone
- (818) 368-8522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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