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Dai Phan, DDS, MS — NPI 1013934041, Albuquerque, NM | NPI Central

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NPI 1013934041

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Dai Phan, DDS, MS

NPI 1013934041 · Prosthodontics · Albuquerque, NM

Provider details

NPI number: 1013934041
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: DDS, MS
Sex: Male
Sole proprietor: No
License: 6032 (NE)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700XLicense 6032 (NE)
Dental Providers

Practice location

1501 San Pedro Dr Se

Albuquerque, NM 87108-5153

Phone: (505) 256-2778

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

12025 Sullivan Ct Nw

Albuquerque, NM 87114-6535

Registry dates

Enumerated: 2006-07-16
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.