Individual
DR. PHONG THANH DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1014 SOUTH 320TH STREET, SUITE E, FEDERAL WAY, WA 98003
(253) 529-0123
Mailing address
10032 SE 220TH ST.REET, KENT, WA 98031-2510
(206) 769-1456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60113220
WA
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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