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Individual

TRAN PHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
20011 BALLINGER WAY NE STE B-100, SHORELINE, WA 98155-1286
(206) 946-6471
Mailing address
5523 RAINIER AVE S, SEATTLE, WA 98118-2440
(206) 834-5867

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61170746
WA

Other

Enumeration date
05/11/2021
Last updated
05/12/2021
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