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1255590592
BRUCE LONG-TAN PHUNG
CHINO, CA
NPI
1255590592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 47548)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
Dr. BRUCE LONG-TAN PHUNG D.D.S.
3817 GRAND AVE SUITE D
CHINO, CA 91710-5443
Phone number: 909-613-1970
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Mailing Address
Dr. BRUCE LONG-TAN PHUNG D.D.S.
3817 GRAND AVE SUITE D
CHINO, CA 91710-5443
Phone number: 909-613-1970
Copy
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