Thihan Phan, DDS Valid NPI
Individual provider · General Practice Dentistry · Avondale, AZ
- NPI
- 1750429619
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6412 (AZ)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-02-02
- Last updated
- 2009-08-13
Practice location
3400 N Dysart Rd, Unit G-125
Avondale, AZ 85392-1003
(623) 322-9215