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1881864262
MATT PHAN
TUSTIN, CA
NPI
1881864262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NV 4282)
Enumeration Date
2008-03-03
Last Update Date
2021-03-18
Business Address
MATT PHAN D.M.D.
13882 NEWPORT AVE STE B
TUSTIN, CA 92780-4666
Phone number: 949-440-1105
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Mailing Address
MATT PHAN D.M.D.
13882 NEWPORT AVE STE B
TUSTIN, CA 92780-4666
Phone number: 949-440-1105
Copy
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