Individual
PHONG BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 NE 129TH ST, SUITE 101, VANCOUVER, WA 98686-3264
(360) 574-4574
Mailing address
2101 NE 129TH ST, SUITE 101, VANCOUVER, WA 98686-3264
(360) 574-4574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008813
WA
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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