Individual provider · Type 1 NPI

Hong Phan

Dental Assistant · Oakland, CA

NPI number 1144633959 Active

Practice location

2950 International Blvd
Oakland, CA 94601-2228

Call (510) 535-4453 Map

Fax (510) 535-4494

Mailing address

2956 Rollingwood Dr
San Pablo, CA 94806-3227

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X75326 (CA)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1144633959

Hong Phan's National Provider Identifier is 1144633959, issued on Jun 9, 2014. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Oakland, CA. The record was last updated on Jun 9, 2014.