Jeffrey Phen DDS a Dental Corporation
Jeffrey Phen DDS a Dental Corporation provides General Practice Dentistry in Stockton, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
850 W March Ln Ste BStockton, CA 95207-6207 Not confirmed with CMS for 16 years — call before visiting
Phone: (209) 474-0888
Fax: (209) 474-3342
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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 44988 (CA) |
|---|
Record details
| NPI number | 1740466572 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Phen — Dentist · (209) 474-0888 |
| Other names | Venetian Square Family Dental |
| NPI enumerated | January 10, 2008 |
| Last updated in NPPES | July 8, 2010 |
| Mailing address | 850 W March Ln, Suite B, Stockton, CA 95207-6207 |
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