DR. PHUONG TA, DDS
Dentist - General Practice
Active
Individual
NPI: 1811050917
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DN14668 (FL) |
Frequently Asked Questions
NPI 1811050917 is the National Provider Identifier for DR. PHUONG TA, DDS, a Dentist - General Practice provider located in Grand Island, FL. This NPI was enumerated on December 19, 2006.
DR. PHUONG TA, DDS practices at 36800 WINFIELD CT, Grand Island, FL 32735.
Quick Facts
- NPI
- 1811050917
- Type
- Individual
- Enumerated
- Dec 19, 2006
- Last Updated
- May 7, 2015
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