Individual
UYEN T PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1927 FAITHON P LUCAS SR BLVD # SR, SUITE120, MESQUITE, TX 75181-1696
(469) 341-3888
Mailing address
1927 FAITHON P LUCAS SR BLVD # SR, SUITE120, MESQUITE, TX 75181-1696
(469) 341-3888
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14848
DENTAL
TX
Enumeration date
06/11/2009
Last updated
06/11/2009
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