SearchOregonGeneral Practice Dentistry

Andrew Phan, D.M.D

NPI 1467604454 · on the registry since 2008 · sole proprietor

Practice

Address
6919 Se 82nd Ave Ste 103
Tlc Dentistry
Portland, OR 97266
Phone
(503) 774-3546
Fax
(503) 774-3547

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
Licence states on file
OR, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-15

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 Oregon