Individual
DR. PHUONG N QUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2844 SUMMIT STREET, SUITE 209, BAY ENDODONTICS, OAKLAND, CA 94609
(510) 451-3636
(510) 451-3607
Mailing address
2844 SUMMIT STREET, SUITE 209, BAY ENDODONTICS, OAKLAND, CA 94609
(510) 451-3636
(510) 451-3607
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
54301
CA
1223G0001X
General Practice Dentistry
54301
CA
Other
Enumeration date
08/04/2006
Last updated
03/26/2013
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