Individual
DR. THOMAS VINCENT PHUNG DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 W. RAILROAD AVE., SHELTON, WA 98584
(360) 426-1664
Mailing address
717 W. RAILROAD AVE., SHELTON, WA 98584
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60477489
WA
1223G0001X
General Practice Dentistry
DE60477489
WA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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