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1295854099
SANDY PHAN
COSTA MESA, CA
NPI
1295854099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 48980)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- SANDY PHAN DMD
2263 FAIRVIEW RD #K
COSTA MESA, CA 92627-1672
Phone number: 949-515-9280
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Mailing Address
-- SANDY PHAN DMD
2263 FAIRVIEW RD K
COSTA MESA, CA 92627-1672
Phone number: 949-515-9280
Copy
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