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1013934041
DAI CHINH PHAN
ALBUQUERQUE, NM
NPI
1013934041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: NE 6032)
Enumeration Date
2006-07-16
Last Update Date
2007-07-08
Business Address
Dr. DAI CHINH PHAN DDS, MS
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-256-2778
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Mailing Address
Dr. DAI CHINH PHAN DDS, MS
12025 SULLIVAN CT NW
ALBUQUERQUE, NM 87114-6535
Phone number: 505-256-2778
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