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Cameron Phen
Student in an Organized Health Care Education/Training Program in Lincoln, California
NPI 1750072435

Cameron Phen is a Student in an Organized Health Care Education/Training Program based in Lincoln, CA. Cameron Phen practices in Lincoln, CA. The NPI Number for Cameron Phen is 1750072435 and holds a License No. D11858 (California).

The current practice location address for Cameron Phen is 688 Cabra St, Lincoln, CA and can be reached out via phone at 916-899-8386.

Location: 688 Cabra St, Lincoln, CA, 95648-8841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750072435
Provider Name
Cameron Phen
Credential
Provider Entity Type
Individual
Gender
Male
Address
688 Cabra St, Lincoln, CA, 95648-8841
Phone Number
916-899-8386
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
688 Cabra St
City
Lincoln
State
California
Zip
95648-8841
Phone Number
916-899-8386
Fax Number
person
Provider Business Mailing Address Details
Address
688 Cabra St
City
Lincoln
State
California
Zip
95648-8841
Phone Number
916-899-8386
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D11858 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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