Phan, David

Phan, David is an individual health care provider with primary practice located at 10747 Collett Ave , Riverside CA 92505-2923. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Phan, David can be contacted via phone (951) 324-3156.

Contact Information

Primary practice address
10747 Collett Ave Riverside CA 92505-2923
Phone: (951) 324-3156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2014011361 Missouri
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 63122 California

Profile Details

NPI number 1295098846
LBN Legal business name Phan, David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated Jul 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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