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1871936633
STEPHANIE PHAN GARRETT
SHREVEPORT, LA
NPI
1871936633
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Former Name
STEPHANIE XUAN-TRANG PHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 60771)
Enumeration Date
2013-04-11
Last Update Date
2019-03-06
Business Address
Dr. STEPHANIE PHAN GARRETT D.D.S.
2859 CARIBBEAN CV
SHREVEPORT, LA 71105-2763
Phone number: 916-531-1952
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Mailing Address
Dr. STEPHANIE PHAN GARRETT D.D.S.
2859 CARIBBEAN CV
SHREVEPORT, LA 71105-2763
Phone number: 916-531-1952
Copy
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