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1740012202
KEVIN PHAN
SUWANEE, GA
NPI
1740012202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN123575)
Enumeration Date
2024-08-14
Last Update Date
2024-11-13
Business Address
Dr. KEVIN PHAN DDS
2855 LAWRENCEVILLE SUWANEE RD STE 360
SUWANEE, GA 30024-3596
Phone number: 678-482-2197
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Mailing Address
Dr. KEVIN PHAN DDS
410 TAMBEC TRCE NW
LILBURN, GA 30047-2860
Phone number: 404-663-3146
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