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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. H. DERICK PHAN, D.D.S., C.A.G.S.

Active Sole Proprietor

DR. H. DERICK PHAN, D.D.S., C.A.G.S. is a Orthodontics healthcare provider located in SAN RAMON, California. NPI 1609075910 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · SAN RAMON, CA

Registration Details

NPI Number
1609075910
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2007 (19.051704074896 yrs)
Last Updated
Jul 29, 2008
Licenses
D6446 (AZ)
49186 (CA)
Sole Proprietor
Yes

Practice Information

Address
11040 BOLLINGER CANYON RD
SUITE K
SAN RAMON, CA, 945824959
Browse CA providers · Browse ZIP 94582
Phone
9256488588
Fax
9256488008
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics

Other Orthodontics Providers in SAN RAMON, CA

Name Credential NPI
DR. SCOTT DARREN MCELROY DDS 1548298144
DR. BARBARA G. YEE DDS, MS 1306925854
DR. WILLIAM CHARLES PATTERSON DDS 1780748525
DR. JERRY H. WATANABE D.D.S., M.S. 1558486514
HARRY ROBERT VAN DEN BERG DDS 1174727648
DR. GARY WILLIAM GREER DDS, MSD 1023202298
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.