MATTHEW JOHN PHAN

ROSELLE, IL
NPI1164944146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.032245)
Enumeration Date2017-07-12
Last Update Date2024-07-18
Business Address
Dr. MATTHEW JOHN PHAN DDS
21 W IRVING PARK RD
ROSELLE, IL 60172-1117
Phone number: 805-813-9567
Mailing Address
Dr. MATTHEW JOHN PHAN DDS
21 W IRVING PARK RD
ROSELLE, IL 60172-1117
Phone number: 805-813-9567
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