Search › Illinois › 122300000X
Matthew Phan, DDS
NPI 1164944146 · on the registry since 2017
Practice
- Address
- 21 W Irving Park Rd
Roselle, IL 60172 - Phone
- (805) 813-9567
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois