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1912389016
TRUNG PHAN
DES MOINES, IA
NPI
1912389016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA DDS-09193)
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
Mr. TRUNG PHAN D.D.S
4919 DOUGLAS AVE SUITE #10
DES MOINES, IA 50310-2775
Phone number: 515-278-2010
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Mailing Address
Mr. TRUNG PHAN D.D.S
1247 SUNSET ST
IOWA CITY, IA 52246-4943
Phone number: 319-471-7426
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