DAVID PHAN D.M.D.
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1295098846- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.M.D.
- Status
- Active
Contact & Location
- Address
- 10747 COLLETT AVE, RIVERSIDE, CA, 925052923
- Phone
- (951) 324-3156
Specialties & Taxonomies
Dentist
License: MO #2014011361
Dentist, Oral and Maxillofacial Surgery
Primary License: CA #63122
All Addresses
MAILING
10747 COLLETT AVE
RIVERSIDE, CA, 925052923