Individual provider · Type 1 NPI

David Phan, DMD

Oral and Maxillofacial Surgery (Dentist) · Riverside, CA

NPI number 1295098846 Active

Practice location

10747 Collett Ave
Riverside, CA 92505-2923

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2014011361 (MO)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X63122 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1295098846

David Phan, DMD's National Provider Identifier is 1295098846, issued on Jun 19, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Riverside, CA. The record was last updated on Jul 22, 2021.