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Organization
MINH PHUONG DO, D.M.D. INC.
Active
Organization
MINH PHUONG DO, D.M.D. INC.
Active
Other names
DO DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH PHUONG DO D.M.D. (PRESIDENT)
(310) 679-6464
Entity
Organization
Contact information
Practice address
12923 INGLEWOOD AVE, SUITE 3, HAWTHORNE, CA 90250-5139
(310) 679-6464
(310) 679-6466
Mailing address
12923 INGLEWOOD AVE, SUITE 3, HAWTHORNE, CA 90250-5139
(310) 679-6464
(310) 679-6466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54411
CA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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