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Contact Information

LARRY Q PHAN, DMD
320 WEST INDIAN SCHOOL RD
PHOENIX, AZ85013
 Phone: 602-248-9445
 Fax: 602-248-9447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LARRY Q PHAN · (Male)

NPI Number 1073680427
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 11/29/2006
Last updated 02/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # D5978
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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