Individual
DR. NHUNG THI PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1365 BROADCLOTH ST STE 204, FORT MILL, SC 29715-4507
(803) 548-8858
(803) 548-8860
Mailing address
1365 BROADCLOTH ST STE 204, FORT MILL, SC 29715-4507
(803) 548-8858
(803) 548-8860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4270
SC
Other
Enumeration date
11/29/2006
Last updated
05/24/2019
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