Individual
DR. BRANDON HUNG PHUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
796 EL CAMINO REAL STE A, SAN CARLOS, CA 94070-3169
(650) 595-1906
(650) 595-1905
Mailing address
796 EL CAMINO REAL STE A, SAN CARLOS, CA 94070-3169
(650) 595-1906
(650) 595-1905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46672
CA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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