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1487167565
BRIAN GIA SON PHAN
PORTLAND, OR
NPI
1487167565
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D10746)
Enumeration Date
2017-11-10
Last Update Date
2019-03-06
Business Address
Dr. BRIAN GIA SON PHAN DMD
13831 NW CORNELL RD
PORTLAND, OR 97229-5485
Phone number: 503-653-8320
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Mailing Address
Dr. BRIAN GIA SON PHAN DMD
13831 NW CORNELL RD
PORTLAND, OR 97229-5485
Phone number:
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