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1275730616
MARK TUAN PHAN
OKLAHOMA CITY, OK
NPI
1275730616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 5957)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
Dr. MARK TUAN PHAN DDS
1201 N STONEWALL AVE RM 305
OKLAHOMA CITY, OK 73117-1214
Phone number: 405-271-5222
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Mailing Address
Dr. MARK TUAN PHAN DDS
6801 GREEN MEADOW LN
OKLAHOMA CITY, OK 73132-3957
Phone number: 405-596-2375
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