Peter Tan Phan D.M.D.

NPI 1285835884 - Dentist - 122300000X

NPI Details
NPI 1285835884
Gender Male
Enumeration Date 05/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
56 NEW DRIFTWAY
SCITUATE MA, 02066-4533, US
Phone (781) 545-5102
Fax
Business Location
333 RICCIUTI DR
UNIT 1122
QUINCY MA, 02169-6287, US
Phone (617) 785-0759
Fax
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number 21842
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According to our database, Peter Tan Phan D.M.D. NPI is 1285835884, taxonomy code is 122300000X and license number is 21842, license state is located at Massachusetts. Peter Tan Phan D.M.D. physically located at 56 New Driftway, Scituate MA, 02066-4533. NPI Number Peter Tan Phan D.M.D. has the Individual type.

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1285835884 NPI number is provided on an as is basis without warranty of any kind. 1285835884 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Tan Phan D.M.D. are for informational purposes only.