Quy-phung Thi Phan D.D.S

NPI 1164662789 - Dentist - 122300000X

NPI Details
NPI 1164662789
Gender Female
Enumeration Date 02/22/2009
Last Updated 02/22/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
628 RUNNING DEER RD
WALNUT CA, 91789-4299, US
Phone (626) 581-8209
Fax
Business Location
628 RUNNING DEER RD
WALNUT CA, 91789-4299, US
Phone (626) 581-8209
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 50090
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According to our database, Dr. Quy-phung Thi Phan D.D.S NPI is 1164662789, taxonomy code is 122300000X and license number is 50090, license state is located at California. Quy-phung Thi Phan D.D.S physically located at 628 Running Deer Rd, Walnut CA, 91789-4299. NPI Number Quy-phung Thi Phan D.D.S has the Individual type.

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1164662789 NPI number is provided on an as is basis without warranty of any kind. 1164662789 is maintained by the National Plan & Provider Enumeration System. The contents of Quy-phung Thi Phan D.D.S are for informational purposes only.