JONATHAN PHAN

AUSTIN, TX
NPI1316490956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  32869)
Additional Taxonomies122300000X Dentist
(Licence: OH  30-24859)
Enumeration Date2016-08-01
Last Update Date2021-01-20
Business Address
Dr. JONATHAN PHAN D.M.D.
15004 AVERY RANCH BLVD BLDG SUITE100
AUSTIN, TX 78717-4600
Phone number: 512-246-7645
Mailing Address
Dr. JONATHAN PHAN D.M.D.
15004 AVERY RANCH BLVD STE 100
AUSTIN, TX 78717-4600
Phone number: 512-246-7645
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