DR. Quy-Phung Thi Phan, D.D.S

NPI #1164662789 in Walnut, California

Provider Information

NPI Number: 1164662789
Entity Type: Individual
Name: DR. Quy-Phung Thi Phan, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Feb 22, 2009
Last Updated: Feb 22, 2009

Practice Location

Address: 628 RUNNING DEER RD
City: Walnut
State: California
ZIP Code: 91789-4299
Phone: (626) 581-8209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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