Dr. Trung Quang Phan, DDS
Dentist, General Practice in Round Rock, TX. Individual provider (NPI-1).
NPI number1902391972
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1902391972
- Entity type
- Individual (NPI-1)
- Name
- Dr. Trung Quang Phan
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2018
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 35899 | TX | Yes |
| 1223G0001X | Dentist, General Practice | DS041744 | PA |
Practice location
581 University Blvd #400Round Rock, TX 78665
Phone 512-244-3333 · Fax 512-341-0631
Mailing address
581 University Blvd #400Round Rock, TX 78665
Phone 512-244-3333 · Fax 512-341-0631
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