# PHIANH WALDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124648910
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12671 | CT | — |
| 1223E0200X | Endodontics | 40035 | TX | — |
| 1223E0200X | Endodontics | DT-2895 | HI | Yes |

## Other

- **Enumeration date:** 04/21/2020
- **Last updated:** 11/17/2023