LUONG VAN PHAN

WEST COVINA, CA
NPI1649378886
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  39462)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- LUONG VAN PHAN DDS
837 W CHRISTOPHER ST SUITE #A
WEST COVINA, CA 91790-3761
Phone number: 626-813-2688
Mailing Address
-- LUONG VAN PHAN DDS
837 W CHRISTOPHER ST SUITE #A
WEST COVINA, CA 91790-3761
Phone number: 626-813-2688
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