SearchIowa1223G0001X

Trung Phan, D.D.S

NPI 1912389016 · on the registry since 2015

Practice

Address
4919 Douglas Ave
Suite #10
Des Moines, IA 50310
Phone
(515) 278-2010
Organisation at this address
Young General Dental Practice, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa