Organization · Type 2 NPI

Pauline Lee Phan, Professional Dental Corp.

General Practice Dentistry · Fountain Valley, CA

NPI number 1053773689 Active

Practice location

11703 Edinger Ave
Fountain Valley, CA 92708-1208

Call (714) 775-1934 Map

Fax (714) 775-7743

Mailing address

11703 Edinger Ave.
Fountain Valley, CA 92708

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1053773689

Pauline Lee Phan, Professional Dental Corp.'s National Provider Identifier is 1053773689, issued on Mar 23, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fountain Valley, CA. The record was last updated on Mar 23, 2016.