Search › Georgia › 1223G0001X
Van Phan, DDS
NPI 1194396713 · on the registry since 2021 · sole proprietor
Practice
- Address
- 6319 Jonesboro Rd Ste A
Morrow, GA 30260 - Phone
- (832) 420-3772
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia