Individual provider · Type 1 NPI
The Tai Phan, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Porter Ranch, CA
Practice location
11200 Corbin Ave, Suite #208
Porter Ranch, CA 91326-4120
Mailing address
25 Cymbidium Cir
South San Francisco, CA 94080-2266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 55427 (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.
9 other providers at this address
- Nu Vela Esthetica, Inc.Plastic Surgery Physician Porter Ranch, CA NPI 1013931591
- Rebecca Lee, D.d.s., A Dental CorporationPediatric Dentistry Northridge, CA NPI 1033455738
- Amy Indrizzo, M.T.Specialist Porter Ranch, CA NPI 1770717522
- Bang Tai Phan, DDSGeneral Practice Dentistry Porter Ranch, CA NPI 1851438154
- Jerrold L. Sugarman, DDSDentist Porter Ranch, CA NPI 1023275021
- Paul Vincze, LMTSpecialist Porter Ranch, CA NPI 1205067246
- Rebecca C. Lee Pair, DDSDentist Northridge, CA NPI 1265519920
- Susan Shriver Rodnunsky, L.AC.Acupuncturist Porter Ranch, CA NPI 1811165293
- Vram Jeannot Kargodorian, DDSGeneral Practice Dentistry Porter Ranch, CA NPI 1356491864
About NPI 1407186562
The Tai Phan, DDS, MD's National Provider Identifier is 1407186562, issued on Jan 12, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Porter Ranch, CA. The record was last updated on Jun 23, 2012.