| Thoi Phu Phan | |
|
345 9th St Ste #206 Oakland CA 94607-6522 | |
| (510) 465-4817 | |
| Not Available |
| Full Name | Thoi Phu Phan |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 345 9th St, Oakland, California |
| Authorized Official Name and Position | Thoi Phu Phan (DENTIST) |
| Authorized Official Contact | 4082236953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thoi Phu Phan 345 9th St Ste #206 Oakland CA 94607-6522 Ph: (510) 465-4817 | Thoi Phu Phan 345 9th St Ste #206 Oakland CA 94607-6522 Ph: (510) 465-4817 |
| NPI Number | 1316143944 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316143944 | NPI | - | NPPES |
| 32222 | Other | CA | CA LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | B32222 (California) | Primary |
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