Individual
MINH QUANG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 SW CAMPUS DR STE 101, FEDERAL WAY, WA 98023-7926
(253) 432-8942
Mailing address
11219 SE 321ST PL, AUBURN, WA 98092-4813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DENT.DE.70137165
WA
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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