Individual
DR. BRYAN QUANG PHAMNGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1417 N SEMORAN BLVD, STE 104, ORLANDO, FL 32807-3555
(407) 381-1200
(407) 381-9970
Mailing address
5908 TAMANACO TRL, ORLANDO, FL 32817-3279
(407) 493-1623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13272
FL
1223G0001X
General Practice Dentistry
16792
TX
1223G0001X
General Practice Dentistry
39869
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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