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1366563504
THANH T PHAN
OXNARD, CA
NPI
1366563504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 55063)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- THANH T PHAN
629 COOPER RD
OXNARD, CA 93030-5427
Phone number: 805-486-6383
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Mailing Address
-- THANH T PHAN
2202 TERN BAY LN
LAKEWOOD, CA 90712-2861
Phone number:
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