PHUC BA DUONG

FORT WORTH, TX
NPI1518313154
Other NamePHILLIP DUONG
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-13
Last Update Date2016-05-13
Business Address
-- PHUC BA DUONG DDS
1714 LIPSCOMB ST
FORT WORTH, TX 76110-1456
Phone number: 714-360-7716
Mailing Address
-- PHUC BA DUONG DDS
1714 LIPSCOMB ST
FORT WORTH, TX 76110-1456
Phone number: 714-360-7716
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