Phan, Thi Thi Cong

Phan, Thi Thi Cong is an sole proprietor health care provider with primary practice located at 2630 El Camino Real , Carlsbad CA 92008-1214. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Phan, Thi Thi Cong can be contacted via phone (760) 434-1761.

Contact Information

Primary practice address
2630 El Camino Real Carlsbad CA 92008-1214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 49393 California

Profile Details

NPI number 1548780604
LBN Legal business name Phan, Thi Thi Cong
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2017
Last updated Jun 21st, 2017 - about 8 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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