TRUNG PHAN

DES MOINES, IA
NPI1912389016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  DDS-09193)
Enumeration Date2015-06-24
Last Update Date2015-06-24
Business Address
Mr. TRUNG PHAN D.D.S
4919 DOUGLAS AVE SUITE #10
DES MOINES, IA 50310-2775
Phone number: 515-278-2010
Mailing Address
Mr. TRUNG PHAN D.D.S
1247 SUNSET ST
IOWA CITY, IA 52246-4943
Phone number: 319-471-7426