MR. Trung Phan, D.D.S
NPI #1912389016 in Des Moines, Iowa
Provider Information
- NPI Number
- 1912389016
- Entity Type
- Individual
- Name
- MR. Trung Phan, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Jun 24, 2015
- Last Updated
- Jun 24, 2015
Practice Location
- Address
- 4919 DOUGLAS AVE
- Address 2
- SUITE #10
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50310-2775
- Phone
- (515) 278-2010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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