DR. Phong Kim Phane, DMD

NPI #1124450283 in St Petersburg, Florida

Provider Information

NPI Number: 1124450283
Entity Type: Individual
Name: DR. Phong Kim Phane, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 31, 2013
Last Updated: Oct 20, 2014

Practice Location

Address: 3388 49TH ST N
City: St Petersburg
State: Florida
ZIP Code: 33710-2146
Phone: (727) 323-0377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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