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Individual
MR. PHUOC QUANG PHI
Active
Individual
MR. PHUOC QUANG PHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148473
CIGNA PROVIDER
WA
05
—
5036553
—
WA
01
—
849461
AETNA PROVIDER
WA
01
—
PH5843
REGENCE PROVIDER
WA
Enumeration date
11/03/2006
Last updated
07/09/2007
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