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Mindy Trieu Phan, D.M.D

Dentist, General Practice in Garden Grove, CA. Individual provider (NPI-1).

NPI number1609905850
StatusActive
Last updated in NPPESMar 11, 2015

Details

NPI
1609905850
Entity type
Individual (NPI-1)
Name
Mindy Trieu Phan
Credential
D.M.D
Sex
Female
Sole proprietor
No
Enumeration date
Mar 5, 2007
Last updated
Mar 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeD49392CAYes

Practice location

12042 Brookhurst St
Garden Grove, CA 92840-2815

Phone 714-539-9500

Mailing address

12042 Brookhurst St
Garden Grove, CA 92840-2815

Phone 714-539-9500

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