Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACQUELYN KHANH-PHUONG DO, D.D.S.
ActiveDR. JACQUELYN KHANH-PHUONG DO, D.D.S. is a Pediatric Dentistry healthcare provider located in DEL MAR, California. NPI 1447475413 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · DEL MAR, CA
Registration Details
- NPI Number
- 1447475413
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2007 (19.359981143007 yrs)
- Last Updated
- Mar 26, 2019
- Licenses
-
50-052365 (NY)61081 (CA)
Practice Information
- Address
-
12835 POINTE DEL MAR WAY STE 2DEL MAR, CA, 920143846Browse CA providers · Browse ZIP 92014
- Phone
- 8587550050
- Fax
- 8587550059
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.