| Peter Binh Phan Dmd Dental Corporation | |
|
16229 S Western Ave Ste 2 Gardena CA 90247-4660 | |
| (408) 256-3435 | |
| Not Available |
| Full Name | Peter Binh Phan Dmd Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16229 S Western Ave Ste 2, Gardena, California |
| Authorized Official Name and Position | Peter Binh Phan (GENERAL DENTIST) |
| Authorized Official Contact | 4082563435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Binh Phan Dmd Dental Corporation 16229 S Western Ave Ste 2 Gardena CA 90247-4660 Ph: (408) 256-3435 | Peter Binh Phan Dmd Dental Corporation 16229 S Western Ave Ste 2 Gardena CA 90247-4660 Ph: (408) 256-3435 |
| NPI Number | 1699252411 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699252411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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