person
Phuc Ba Duong, DDS
Student in an Organized Health Care Education/Training Program in Fort Worth, Texas
NPI 1518313154

Phuc Ba Duong is a Student in an Organized Health Care Education/Training Program based in Fort Worth, TX. Phuc Ba Duong practices in Fort Worth, TX and has the professional credentials of DDS. The NPI Number for Phuc Ba Duong is 1518313154 and holds a License No. (Texas).

The current practice location address for Phuc Ba Duong is 1714 Lipscomb St, Fort Worth, TX and can be reached out via phone at 714-360-7716.

Location: 1714 Lipscomb St, Fort Worth, TX, 76110-1456
person
Provider Profile Details
NPI Number
1518313154
Provider Name
Phuc Ba Duong
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1714 Lipscomb St, Fort Worth, TX, 76110-1456
Phone Number
714-360-7716
Fax Number
Provider Enumeration Date
05/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1714 Lipscomb St
City
State
Zip
76110-1456
Phone Number
714-360-7716
Fax Number
person
Provider Business Mailing Address Details
Address
1714 Lipscomb St
City
State
Zip
76110-1456
Phone Number
714-360-7716
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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