DR. Nicholas Phung, D.M.D

NPI #1396172235 in Conyers, Georgia

Provider Information

NPI Number
1396172235
Entity Type
Individual
Name
DR. Nicholas Phung, D.M.D
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.M.D
Enumeration Date
Oct 10, 2013
Last Updated
Oct 10, 2013

Practice Location

Address
1450 SR 138
State
Georgia
ZIP Code
30013
Phone
(404) 932-4705

Specialties & Taxonomy Codes

Specialty
Dentist

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