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1396864187
THOMAS TUAN PHAN
ELK GROVE, CA
NPI
1396864187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA 48847)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- THOMAS TUAN PHAN DDS
9184 E STOCKTON BLVD
ELK GROVE, CA 95624-9510
Phone number: 916-686-1101
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Mailing Address
-- THOMAS TUAN PHAN DDS
9324 WINDING BROOK WAY
ELK GROVE, CA 95624-4091
Phone number: 916-685-5148
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