Individual
DR. MY-KHANH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
562 VALLEY RD STE 102, MOCKSVILLE, NC 27028-2092
(336) 609-7117
Mailing address
562 VALLEY RD STE 102, MOCKSVILLE, NC 27028-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9632
NC
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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