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1396172235
NICHOLAS PHUNG
CONYERS, GA
NPI
1396172235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN014688)
Enumeration Date
2013-10-10
Last Update Date
2013-10-10
Business Address
Dr. NICHOLAS PHUNG D.M.D
1450 SR 138
CONYERS, GA 30013
Phone number: 404-932-4705
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Mailing Address
Dr. NICHOLAS PHUNG D.M.D
1055 PAPER CREEK DR
LAWRENCEVILLE, GA 30046-5358
Phone number: 404-932-4705
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