Individual
HUONG THU PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2300 W BROAD ST, COLUMBUS, OH 43204-3783
(614) 645-2300
(614) 645-5517
Mailing address
4419 FALLBROOK BLVD, PALM HARBOR, FL 34685-2653
(813) 420-7005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
APP-000261372
OH
1223P0221X
Pediatric Dentistry
Primary
DN25552
FL
Other
Enumeration date
06/25/2019
Last updated
08/25/2025
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