Phan, H. Derick

Phan, H. Derick is an sole proprietor health care provider with primary practice located at 11040 Bollinger Canyon Rd Suite K, San Ramon CA 94582-4959. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Phan, H. Derick can be contacted via phone (925) 648-8588.

Contact Information

Primary practice address
11040 Bollinger Canyon Rd Suite K San Ramon CA 94582-4959
Phone: (925) 648-8588
Fax: (925) 648-8008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D6446 Arizona
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 49186 California

Profile Details

NPI number 1609075910
LBN Legal business name Phan, H. Derick
Credentials D.D.S., C.A.G.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2007
Last updated Jul 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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