NPI 1154113538

Anhtuan van Phan, LD

Practitioner Denturist Tacoma, WA

Practice location

Address: 7808 Pacific Ave STE 6, Tacoma, WA 98408-7039
Phone: (253) 617-5704
Mailing address: 9518 McKinley Ave, Tacoma, WA 98445-2168

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence 61521236 (WA)

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Registry record

NPI: 1154113538
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2025
Record last updated: 21 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.