Individual
DR. NHUNG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4380 BLUE DIAMOND RD STE 102, LAS VEGAS, NV 89139-7786
(702) 425-4424
Mailing address
1545 WIGWAM PKWY APT 2522, HENDERSON, NV 89074-8288
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7211
NV
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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