Brian Vongchanphen Dds, LLC

NPI #1871076455 in Wahiawa, Hawaii

Provider Information

NPI Number: 1871076455
Entity Type: Organization
Organization Name: Brian Vongchanphen Dds, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 10, 2018
Last Updated: Sep 10, 2018

Practice Location

Address: 810 KILANI AVE STE A
City: Wahiawa
State: Hawaii
ZIP Code: 96786-2044
Phone: (808) 621-8281

Authorized Official

Name: DR. BRIAN VONGCHANPHEN, DDS
Title: DENTIST
Phone: (808) 621-8281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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