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1063100691
CODY CLINTON PHEN
WILMINGTON, NC
NPI
1063100691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NC 13237)
Enumeration Date
2023-05-01
Last Update Date
2026-06-30
Business Address
CODY CLINTON PHEN DMD
126 CINEMA DR
WILMINGTON, NC 28403-1490
Phone number: 910-940-0259
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Mailing Address
CODY CLINTON PHEN DMD
126 CINEMA DR
WILMINGTON, NC 28403-1490
Phone number: 910-940-0259
Copy
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