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1114050200
THI BINH PHAN
SAN DIEGO, CA
NPI
1114050200
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Other Name
TIMOTHY B PHAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 40484)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
-- THI BINH PHAN
1540 FERN ST
SAN DIEGO, CA 92102-1521
Phone number: 619-236-9549
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Mailing Address
-- THI BINH PHAN
37 SANCTUARY STREET
IRVINE, CA 92620
Phone number: 714-309-2383
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