CUONG TIEN PHAN

ORLANDO, FL
NPI1720091705
Other NameCUONG TIEN PHAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN15320)
Enumeration Date2006-08-14
Last Update Date2007-07-08
Business Address
-- CUONG TIEN PHAN
7824 LAKE UNDERHILL RD SUITE G
ORLANDO, FL 32822-8201
Phone number: 407-282-7498
Mailing Address
-- CUONG TIEN PHAN
7824 LAKE UNDERHILL RD SUITE G
ORLANDO, FL 32822-8201
Phone number: 407-282-7498
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