BRIAN GIA SON PHAN

PORTLAND, OR
NPI1487167565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D10746)
Enumeration Date2017-11-10
Last Update Date2019-03-06
Business Address
Dr. BRIAN GIA SON PHAN DMD
13831 NW CORNELL RD
PORTLAND, OR 97229-5485
Phone number: 503-653-8320
Mailing Address
Dr. BRIAN GIA SON PHAN DMD
13831 NW CORNELL RD
PORTLAND, OR 97229-5485
Phone number: