THE TAI PHAN

PORTER RANCH, CA
NPI1407186562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA  55427)
Enumeration Date2010-01-12
Last Update Date2012-06-23
Business Address
-- THE TAI PHAN DDS, MD
11200 CORBIN AVE SUITE #208
PORTER RANCH, CA 91326-4120
Phone number: 818-368-8522
Mailing Address
-- THE TAI PHAN DDS, MD
25 CYMBIDIUM CIR
SOUTH SAN FRANCISCO, CA 94080-2266
Phone number: