# MR. PHUOC QUANG PHI

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

## Provider details

- **NPI number:** 1518046010
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00007819 | WA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 07/09/2007

## 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 |