THI PHAN

Dentist - General Practice

Active Individual
NPI: 1114050200

Practice Address

1540 FERN ST
San Diego, CA 92102

Phone: (619) 236-9549

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 40484 (CA)

Frequently Asked Questions

NPI 1114050200 is the National Provider Identifier for THI PHAN, a Dentist - General Practice provider located in San Diego, CA. This NPI was enumerated on March 14, 2007.
THI PHAN practices at 1540 FERN ST, San Diego, CA 92102.

Quick Facts

NPI
1114050200
Type
Individual
Enumerated
Mar 14, 2007
Last Updated
Jul 8, 2007

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