Individual
DR. BRUCE LONG-TAN PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3817 GRAND AVE, SUITE D, CHINO, CA 91710-5443
(909) 613-1970
(909) 613-1972
Mailing address
3817 GRAND AVE, SUITE D, CHINO, CA 91710-5443
(909) 613-1970
(909) 613-1972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47548
CA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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