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1053641712
PHONG THANH DANG
FEDERAL WAY, WA
NPI
1053641712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE60113220)
Enumeration Date
2009-12-31
Last Update Date
2009-12-31
Business Address
Dr. PHONG THANH DANG D.D.S.
1014 SOUTH 320TH STREET SUITE E
FEDERAL WAY, WA 98003
Phone number: 253-529-0123
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Mailing Address
Dr. PHONG THANH DANG D.D.S.
10032 SE 220TH ST.REET
KENT, WA 98031-2510
Phone number: 206-769-1456
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