Khoi N Phan is a Dentist in Romoland, California. Khoi N Phan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Khoi N Phan is 1811155252. The last update date is 2019-03-01.
Khoi N Phan's current location address is 27836 Lake Ridge Dr, Romoland, California. You can contact this provider via phone number 7143906012. The mailing address for Khoi N Phan is 27836 Lake Ridge Dr, Romoland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khoi N Phan |
|---|---|
| Address | 27836 Lake Ridge Dr, Romoland, California |
| Phone Number | 7143906012 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1811155252 |
|---|---|
| Provider Enumeration Date | 2008-05-31 |
| Last Updated Date | 2019-03-01 |
Provider Mailing Address Detail
| Address | 27836 Lake Ridge Dr |
|---|---|
| City | Romoland |
| State | California (CA) |
| Post Code | 925853110 |
| Phone Number | 7143906012 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 48762 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Khoi N Phan by the Centers for Medicare & Medicaid Services?
The Khoi N Phan has been assigned the NPI (National Provider Identifier) 1811155252 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Khoi N Phan is physically located?
The Khoi N Phan is situated at the following address: 27836 Lake Ridge Dr, Romoland, CA 925853110.
What is the Khoi N Phan's specialty and taxonomy code?
The Khoi N Phan's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Khoi N Phan receive its 1811155252 assignment from the Centers for Medicare & Medicaid Services?
The Khoi N Phan was assigned its 1811155252 on 2008-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Khoi N Phan's information last updated?
The Khoi N Phan's information was last updated on 2019-03-01.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY