The Tai Phan, DDS, MD
The Tai Phan, DDS, MD is an Oral and Maxillofacial Surgery (Dentist) in Porter Ranch, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2010
What do these letters mean?
Practice location Address checks out
11200 Corbin Ave Ste #208Porter Ranch, CA 91326-4120
Phone: (818) 368-8522
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Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 55427 (CA) |
|---|
Record details
| NPI number | 1407186562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MD |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2010 |
| Last updated in NPPES | June 23, 2012 |
| Mailing address | 25 Cymbidium Cir, South San Francisco, CA 94080-2266 |