Individual
LONG K PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
911 DULUTH HWY STE E2, LAWRENCEVILLE, GA 30043-5399
(678) 209-2273
Mailing address
911 DULUTH HWY STE E2, LAWRENCEVILLE, GA 30043-5399
(678) 209-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN016140
GA
Other
Enumeration date
07/14/2015
Last updated
11/20/2022
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