DR. Cuong Quoc Phan, D.D.S.

NPI #1922447010 in Fresno, Texas

Provider Information

NPI Number: 1922447010
Entity Type: Individual
Name: DR. Cuong Quoc Phan, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 21, 2013
Last Updated: Jun 21, 2013

Practice Location

Address: 12125 HIGHWAY 6
Address 2: SUITE D
City: Fresno
State: Texas
ZIP Code: 77545-8843
Phone: (281) 431-8909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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