DR. Phuong Helene Ta, DDS
NPI #1811050917 in Grand Island, Florida
Provider Information
- NPI Number
- 1811050917
- Entity Type
- Individual
- Name
- DR. Phuong Helene Ta, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 19, 2006
- Last Updated
- May 7, 2015
Practice Location
- Address
- 36800 WINFIELD CT
- City
- Grand Island
- State
- Florida
- ZIP Code
- 32735-9131
- Phone
- (352) 255-5538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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