| Christine Thuy Phan Dmd Dental Corporation | |
|
14221 Inglewood Ave Hawthorne CA 90250-6729 | |
| (310) 675-4929 | |
| Not Available |
| Full Name | Christine Thuy Phan Dmd Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14221 Inglewood Ave, Hawthorne, California |
| Authorized Official Name and Position | Christine Thuy Phan (DOCTOR) |
| Authorized Official Contact | 3106754929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Thuy Phan Dmd Dental Corporation 14221 Inglewood Ave Hawthorne CA 90250-6729 Ph: (310) 675-4929 | Christine Thuy Phan Dmd Dental Corporation 14221 Inglewood Ave Hawthorne CA 90250-6729 Ph: (310) 675-4929 |
| NPI Number | 1275169021 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275169021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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