| Long Ngoc Phan, Dmd, Inc | |
|
40986 California Oaks Rd Murrieta CA 92562-5747 | |
| (951) 304-3044 | |
| (951) 304-3285 |
| Full Name | Long Ngoc Phan, Dmd, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 40986 California Oaks Rd, Murrieta, California |
| Authorized Official Name and Position | Long N Phan (OWNER) |
| Authorized Official Contact | 9513043044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Ngoc Phan, Dmd, Inc 40986 California Oaks Rd Murrieta CA 92562-5747 Ph: (951) 304-3044 | Long Ngoc Phan, Dmd, Inc 40986 California Oaks Rd Murrieta CA 92562-5747 Ph: (951) 304-3044 |
| NPI Number | 1295921062 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295921062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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