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Individual
DR. PHUONGCHI PHAN SEN
Active
Individual
DR. PHUONGCHI PHAN SEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210036404
—
TX
05
—
210036405
—
TX
Enumeration date
12/12/2009
Last updated
07/02/2024
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