Individual
DR. HIEU NGOC PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
533 W CHURCH ST, BATESBURG-LEESVILLE, SC 29006-1706
(803) 532-3331
Mailing address
1517 HATHAWAY DR, ROCK HILL, SC 29730-8966
(803) 397-9115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.8561 GD
SC
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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