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Organization
PHUONG LAN NGO DDS PA
Active
Organization
PHUONG LAN NGO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHUONG LAN NGO DDS (PRESIDENT)
(214) 926-1290
Entity
Organization
Contact information
Practice address
3443 W CAMPBELL RD STE 650, GARLAND, TX 75044-8146
(214) 926-1290
Mailing address
3306 OWENS BLVD, RICHARDSON, TX 75082-3030
(214) 926-1290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203451401
—
TX
Enumeration date
03/29/2013
Last updated
03/29/2013
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