Cody Phen, DMD

NPI #1063100691 in Ahoskie, North Carolina

Provider Information

NPI Number: 1063100691
Entity Type: Individual
Name: Cody Phen, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DMD
Enumeration Date: May 1, 2023
Last Updated: May 1, 2023

Practice Location

Address: 904 COLONY AVE N
City: Ahoskie
State: North Carolina
ZIP Code: 27910-2108
Phone: (919) 225-7232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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