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Individual

TUAN PHUONG CAO

Active
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Individual

TUAN PHUONG CAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
7091
LA
1223G0001X
General Practice Dentistry
Primary
019.033896
IL

Other

Enumeration date
07/23/2020
Last updated
09/01/2022
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