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1164872578
PHUONG KIM VAN
CLERMONT, FL
NPI
1164872578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 21887)
Enumeration Date
2016-06-16
Last Update Date
2017-01-30
Business Address
Dr. PHUONG KIM VAN D.M.D.
3185 CITRUS TOWER BLVD
CLERMONT, FL 34711-6803
Phone number: 352-271-8471
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Mailing Address
Dr. PHUONG KIM VAN D.M.D.
3185 CITRUS TOWER BLVD
CLERMONT, FL 34711-6803
Phone number: 352-247-8471
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