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

Pauline Lee Phan, Professional Dental Corp

Organization General Practice Dentistry · NPI 1053773689

Pauline Lee Phan, Professional Dental Corp provides General Practice Dentistry in Fountain Valley, California. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11703 Edinger Ave
Fountain Valley, CA 92708-1208 Not confirmed with CMS for 10 years — call before visiting
Phone: (714) 775-1934
Fax: (714) 775-7743
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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

Record details

NPI number1053773689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pauline Phan — President · (714) 775-1934
Other names Dental Arts
NPI enumeratedMarch 23, 2016
Last updated in NPPESMarch 23, 2016
Mailing address11703 Edinger Ave., Fountain Valley, CA 92708

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