Dr. Lynda Minh Phan, DDS
Dentist in Seattle, WA. Individual provider (NPI-1).
NPI number1982198255
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1982198255
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lynda Minh Phan
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2018
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 60861704 | WA | Yes |
Practice location
509 Olive Way Ste 1538Seattle, WA 98101-1749
Phone 206-343-8774
Mailing address
3922 14th Ave S Apt CSeattle, WA 98108-1470
Phone 360-878-5436
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