Diane Phan, DDS

General Practice Dentistry · Fontana, CA

Individual Active NPI

NPI number 1902923642

Practice location

8188 Sierra Ave
Suite H
Fontana, CA 92335-3575
Phone
(909) 434-0865

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NPI record

NPI
1902923642
Entity type
Individual (Type 1)
Enumeration date
March 26, 2007
Last updated
June 9, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 47410 CA

About Dr. Phan

Diane Phan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8188 Sierra Ave, Suite H, Fontana, CA 92335-3575. The NPI number 1902923642 was assigned on March 26, 2007 and the record was last updated on June 9, 2015.

Dr. Phan lists a license in the registry: #47410 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Diane Phan, DDS?

The NPI number is 1902923642.

What is the phone number of Dr. Phan?

The phone number listed for the practice location is (909) 434-0865.

Where is Dr. Phan located?

8188 Sierra Ave, Suite H, Fontana, CA 92335-3575.

What is the taxonomy code for Dr. Phan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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