Individual
DR. CUONG QUOC PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12125 HIGHWAY 6, SUITE D, FRESNO, TX 77545-8843
(281) 431-8909
Mailing address
9411 KARI SPRINGS CT, HOUSTON, TX 77040-7647
(832) 798-0141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29113
TX
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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