THU THAO PHAN

LOS ANGELES, CA
NPI1285942441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  59521)
Enumeration Date2010-09-21
Last Update Date2010-09-21
Business Address
-- THU THAO PHAN
767 N HILL ST STE 200
LOS ANGELES, CA 90012-2365
Phone number: 714-200-5325
Mailing Address
-- THU THAO PHAN
14942 JACKSON ST # C3
MIDWAY CITY, CA 92655-1230
Phone number: 714-200-5325