Organization · Type 2 NPI
Thi Phan Dental Corp
Dental Clinic/Center · San Diego, CA
NPI number
1144656406
Active
Practice location
1540 Fern St
San Diego, CA 92102-1536
Fax (619) 234-0311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 40484 (CA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1144656406
Thi Phan Dental Corp's National Provider Identifier is 1144656406, issued on Sep 18, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Diego, CA. The record was last updated on Sep 18, 2013.