Dr. Dai Chinh Phan
Prosthodontist
1501 San Pedro Dr Se
Albuquerque
, New Mexico 87108-5153
Dr. Dai Chinh Phan
Prosthodontist
1501 San Pedro Dr Se
Albuquerque
, New Mexico 87108-5153
(505) 256-2778
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Dai Chinh Phan
- 12025 Sullivan Ct Nw
- Albuquerque, NM
- Zip : 87114-6535
- Phone : (505) 256-2778
Second Address
- Dr. Dai Chinh Phan
- 1501 San Pedro Dr Se
- Albuquerque, NM
- Zip : 87108-5153
- Phone : (505) 256-2778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 6032 | NE |
National Provider Identifier
| NPI | 1013934041 |
|---|---|
| Provider Name | Dr. Dai Chinh Phan |
| First Address | Albuquerque, NM 87114-6535 |
| Second Address | Albuquerque, NM 87108-5153 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.