DR. MATTHEW PHAN, DDS

Dentist

Active Individual
NPI: 1164944146

Practice Address

21 W IRVING PARK RD
Roselle, IL 60172

Phone: (805) 813-9567

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 019.032245 (IL)

Frequently Asked Questions

NPI 1164944146 is the National Provider Identifier for DR. MATTHEW PHAN, DDS, a Dentist provider located in Roselle, IL. This NPI was enumerated on July 12, 2017.
DR. MATTHEW PHAN, DDS practices at 21 W IRVING PARK RD, Roselle, IL 60172.

Quick Facts

NPI
1164944146
Type
Individual
Enumerated
Jul 12, 2017
Last Updated
Jul 18, 2024

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