Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Callandra Phan, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043199201

Callandra Phan, DMD is a Student in an Organized Health Care Education/Training Program in LA Puente, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

533 Giano Ave
LA Puente, CA 91744-5816
Phone: (626) 678-5186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043199201
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 30, 2025
Last updated in NPPESAugust 30, 2025
Certification dateAugust 30, 2025
Mailing address533 Giano Ave, La Puente, CA 91744-5816

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