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DAWNA PHAN & MINDY PHAN A PROFESSIONAL DENTAL CORP. NPI 1861558207


NPI Information

NPI: 1861558207
Provider Name: DAWNA PHAN & MINDY PHAN A PROFESSIONAL DENTAL CORP.

Doing Business As: OC TOOTH FAIRY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12042 BROOKHURST ST
GARDEN GROVE, CA
ZIP 92840
Phone: (714) 539-9500
Get Directions

DAWNA PHAN & MINDY PHAN A PROFESSIONAL DENTAL CORP. is a general practice dentist in Garden Grove, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DAWNA PHAN & MINDY PHAN A PROFESSIONAL DENTAL CORP. NPI is 1861558207. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Oc Tooth Fairy Dental.

The provider's business location address is:

12042 BROOKHURST ST
GARDEN GROVE, CA
ZIP 92840-815
Phone: (714) 539-9500

The provider's authorized official is Mindy T Phan .
The authorized official title is Ceo and has the following contact phone number (714) 539-9500.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD49392CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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