DR. Bruce Long-Tan Phung, D.D.S.

NPI #1255590592 in Chino, California

Provider Information

NPI Number
1255590592
Entity Type
Individual
Name
DR. Bruce Long-Tan Phung, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 2, 2008
Last Updated
Jun 2, 2008

Practice Location

Address
3817 GRAND AVE
Address 2
SUITE D
City
Chino
ZIP Code
91710-5443
Phone
(909) 613-1970

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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