Individual
MR. PHUOC QUANG PHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5523 RAINIER AVE S, SEATTLE, WA 98118-2440
(206) 760-8171
(206) 760-1595
Mailing address
5523 RAINIER AVE S, SEATTLE, WA 98118-2440
(206) 760-8171
(206) 760-1595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148473
CIGNA PROVIDER
WA
05
—
5036553
—
WA
01
—
849461
AETNA PROVIDER
WA
01
—
PH5843
REGENCE PROVIDER
WA
Enumeration date
11/03/2006
Last updated
07/09/2007
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