Dr. Jacob Xavier Phen
Dr. Jacob Xavier Phen is a General Practice Dentistry in Stockton, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
850 W March Ln Ste BStockton, CA 95207-6207
Phone: (209) 479-4199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 107806 (CA) |
|---|
Record details
| NPI number | 1447973151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 19, 2022 |
| Last updated in NPPES | September 19, 2022 |
| Certification date | September 19, 2022 |
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Dr. Jeffrey Phen, DDS
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