Individual
CINDY QUYNHCHI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15560 QUORUM DR, ADDISON, TX 75001
(972) 247-4614
(972) 404-9117
Mailing address
603 OLYMPIC, RICHARDSON, TX 75081
(972) 235-9386
(972) 404-9117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17225
TX
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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