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1932423001
DENNY PHAN
SAN RAFAEL, CA
NPI
1932423001
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Other Name
DUNG TUAN PHAN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: CA 489)
Enumeration Date
2010-03-18
Last Update Date
2010-03-18
Business Address
-- DENNY PHAN RDAEF
411 4TH ST
SAN RAFAEL, CA 94901-5716
Phone number: 415-473-5450
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Mailing Address
-- DENNY PHAN RDAEF
411 4TH ST
SAN RAFAEL, CA 94901-5716
Phone number: 415-473-5450
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