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Thi Phan Dental Corp
Dental Clinic/Center in San Diego, California
NPI 1144656406

Thi Phan Dental Corp is a Dental Clinic/Center based in San Diego, CA and is specialized in Dental. Thi Phan Dental Corp practices in San Diego, CA. The NPI Number for Thi Phan Dental Corp is 1144656406 and holds a License No. 40484 (California).

The current practice location address for Thi Phan Dental Corp is 1540 Fern St, San Diego, CA and can be reached out via phone at 619-236-9549 and via fax at 619-234-0311.

Location: 1540 Fern St, San Diego, CA, 92102-1536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144656406
Provider Name
Thi Phan Dental Corp
Credential
Provider Entity Type
Organization
Address
1540 Fern St, San Diego, CA, 92102-1536
Phone Number
619-236-9549
Fax Number
619-234-0311
Provider Enumeration Date
09/18/2013
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1540 Fern St
City
San Diego
State
California
Zip
92102-1536
Phone Number
619-236-9549
Fax Number
619-234-0311
person
Provider Business Mailing Address Details
Address
1540 Fern St
City
San Diego
State
California
Zip
92102-1536
Phone Number
619-236-9549
Fax Number
619-234-0311
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
40484 (California)
Definition
Definition to come...
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