THI PHAN

General Practice Dentistry

NPI: 1114050200Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

40484(CA)

Contact & Hours

Address: 1540 FERN ST
SAN DIEGO, CA 92102
Phone: (619) 236-9549

Quick Facts

NPI: 1114050200
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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