BRUCE LONG-TAN PHUNG

CHINO, CA
NPI1255590592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  47548)
Enumeration Date2008-06-02
Last Update Date2008-06-02
Business Address
Dr. BRUCE LONG-TAN PHUNG D.D.S.
3817 GRAND AVE SUITE D
CHINO, CA 91710-5443
Phone number: 909-613-1970
Mailing Address
Dr. BRUCE LONG-TAN PHUNG D.D.S.
3817 GRAND AVE SUITE D
CHINO, CA 91710-5443
Phone number: 909-613-1970