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1730105206
HAI THANH PHAN
CONCORD, CA
NPI
1730105206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 49977)
Enumeration Date
2006-07-15
Last Update Date
2014-08-23
Business Address
-- HAI THANH PHAN D.D.S
1941 PARKSIDE DR
CONCORD, CA 94519-2525
Phone number: 925-689-0811
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Mailing Address
-- HAI THANH PHAN D.D.S
1941 PARKSIDE DR
CONCORD, CA 94519-2525
Phone number: 925-689-0811
Copy
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