STEVEN PHAN

MISSION VIEJO, CA
NPI1730660929
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  103196)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: AZ  10148)
Enumeration Date2018-08-24
Last Update Date2018-12-05
Business Address
STEVEN PHAN DDS
26682 AVENIDA SHONTO
MISSION VIEJO, CA 92691-2610
Phone number: 949-636-5846
Mailing Address
STEVEN PHAN DDS
1451 ROCKY RIDGE DR APT 616
ROSEVILLE, CA 95661-3005
Phone number: 949-636-5846