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1285942441
THU THAO PHAN
LOS ANGELES, CA
NPI
1285942441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 59521)
Enumeration Date
2010-09-21
Last Update Date
2010-09-21
Business Address
THU THAO PHAN
767 N HILL ST STE 200
LOS ANGELES, CA 90012-2365
Phone number: 714-200-5325
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Mailing Address
THU THAO PHAN
14942 JACKSON ST # C3
MIDWAY CITY, CA 92655-1230
Phone number: 714-200-5325
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