| Huy B. Phan Dental Corporation | |
|
3351 Tyler Ave El Monte CA 91731-3101 | |
| (626) 279-5371 | |
| Not Available |
| Full Name | Huy B. Phan Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3351 Tyler Ave, El Monte, California |
| Authorized Official Name and Position | Huy Phan (PRESIDENT) |
| Authorized Official Contact | 6267580462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huy B. Phan Dental Corporation 1024 Paloma Dr Arcadia CA 91007-6124 Ph: () - | Huy B. Phan Dental Corporation 3351 Tyler Ave El Monte CA 91731-3101 Ph: (626) 279-5371 |
| NPI Number | 1912041872 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912041872 | NPI | - | NPPES |
| G93443-01 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46322 (California) | Primary |
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