Provider Demographics
NPI:1235260944
Name:PHUNG, SABRINA BUU-HANH (DDS)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:BUU-HANH
Last Name:PHUNG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 FIREWHEEL PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2896
Mailing Address - Country:US
Mailing Address - Phone:972-495-5618
Mailing Address - Fax:
Practice Address - Street 1:2535 FIREWHEEL PKWY STE 500
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2896
Practice Address - Country:US
Practice Address - Phone:972-495-5618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice