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Individual

DR. PHILIP KHNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
1201 SOUTH MENA STREET, MENA, AR 71953-2745
(541) 479-3454
Mailing address
1201 SOUTH MENA STREET, MENA, AR 71953-2745
(541) 479-3454

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3643
AR
1223G0001X
General Practice Dentistry
Primary
D7060
OR

Other

Enumeration date
11/14/2006
Last updated
04/04/2008
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