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1902923642
DIANE PHAN
FONTANA, CA
NPI
1902923642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 47410)
Enumeration Date
2007-03-26
Last Update Date
2015-06-09
Business Address
Dr. DIANE PHAN DDS
8188 SIERRA AVE SUITE H
FONTANA, CA 92335-3575
Phone number: 909-434-0865
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Mailing Address
Dr. DIANE PHAN DDS
8188 SIERRA AVE SUITE H
FONTANA, CA 92335-3575
Phone number: 909-434-0865
Copy
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