Dr. Vanessa Phan, D.M.D.
Dentist, General Practice in Clarkston, GA. Individual provider (NPI-1).
NPI number1881865624
StatusActive
Last updated in NPPESMar 20, 2008
Details
- NPI
- 1881865624
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vanessa Phan
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2008
- Last updated
- Mar 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 012128 | GA | Yes |
Practice location
3596 Hill StreetClarkston, GA 30021
Phone 404-499-2216
Mailing address
3596 Hill StreetClarkston, GA 30021
Phone 404-499-2216
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Other General Practice Dentistry providers in Clarkston, GA
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- Thu D. Vu, D.D.S.NPI 1790956530
All 8 General Practice Dentistry providers in Clarkston · All 147 providers in Clarkston
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