Dai Chinh Phan DDS, MS

NPI 1013934041 - Dentist - 1223P0700X

NPI Details
NPI 1013934041
Gender Male
Enumeration Date 07/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1501 SAN PEDRO DR SE
ALBUQUERQUE NM, 87108-5153, US
Phone (505) 256-2778
Fax
Business Location
12025 SULLIVAN CT NW
ALBUQUERQUE NM, 87114-6535, US
Phone (505) 256-2778
Fax
Toxanomy
Taxonomy Code 1223P0700X
License State Nebraska
License Number 6032
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According to our database, Dr. Dai Chinh Phan DDS, MS NPI is 1013934041, taxonomy code is 1223P0700X and license number is 6032, license state is located at Nebraska. Dai Chinh Phan DDS, MS physically located at 1501 San Pedro Dr Se, Albuquerque NM, 87108-5153. NPI Number Dai Chinh Phan DDS, MS has the Individual type.

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1013934041 NPI number is provided on an as is basis without warranty of any kind. 1013934041 is maintained by the National Plan & Provider Enumeration System. The contents of Dai Chinh Phan DDS, MS are for informational purposes only.