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Thomas Tuan Phan, DDS
Oral and Maxillofacial Surgery (Dentist) in Elk Grove, California
NPI 1396864187

Thomas Tuan Phan is a Oral and Maxillofacial Surgery (Dentist) based in Elk Grove, CA and is specialized in Oral and Maxillofacial Surgery. Thomas Tuan Phan practices in Elk Grove, CA and has the professional credentials of DDS. The NPI Number for Thomas Tuan Phan is 1396864187 and holds a License No. 48847 (California).

The current practice location address for Thomas Tuan Phan is 9184 E Stockton Blvd, Elk Grove, CA and can be reached out via phone at 916-686-1101.

Location: 9184 E Stockton Blvd, Elk Grove, CA, 95624-4091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396864187
Provider Name
Thomas Tuan Phan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
9184 E Stockton Blvd, Elk Grove, CA, 95624-4091
Phone Number
916-686-1101
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9184 E Stockton Blvd
City
Elk Grove
State
California
Zip
95624-9510
Phone Number
916-686-1101
Fax Number
person
Provider Business Mailing Address Details
Address
9184 E Stockton Blvd
City
Elk Grove
State
California
Zip
95624-9510
Phone Number
916-686-1101
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
48847 (California)
Definition
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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