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Contact Information

JOSEPH PHEN, DENTIST, A DENTAL CORPORATION
8351 ELK GROVE BLVD STE 300
ELK GROVE, CA95758-5515
 Phone: 916-691-6997
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for JOSEPH PHEN, DENTIST, A DENTAL CORPORATION

NPI Number 1164820130
LBN Legal business name JOSEPH PHEN, DENTIST, A DENTAL CORPORATION
Authorized official JOSEPH PHEN - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2014
Last updated 12/08/2014 - About 11 years ago
Identifiers
CA License # 45172
CA Other 1285691907 DENTISTRY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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