| Hai Phan Dds Inc | |
|
1569 Lexann Ave Suite #108 San Jose CA 95121-1794 | |
| (408) 270-4211 | |
| (408) 270-4213 |
| Full Name | Hai Phan Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1569 Lexann Ave, San Jose, California |
| Authorized Official Name and Position | Hai Thanh Phan (OWNER) |
| Authorized Official Contact | 4082704211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hai Phan Dds Inc 1569 Lexann Ave Suite #108 San Jose CA 95121-1794 Ph: (408) 270-4211 | Hai Phan Dds Inc 1569 Lexann Ave Suite #108 San Jose CA 95121-1794 Ph: (408) 270-4211 |
| NPI Number | 1235481300 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 12/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235481300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46671 (California) | Primary |
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