Most Relevant Information
Provider Data
| NPI Number: | 1003005547 |
| Provider Name: | SEAN PHUC DO DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 0401411673 |
Most Important Dates
| Enumeration Date: | 10/22/2007 |
| Last Updated: | 02/15/2011 |
Provider Practice Location
1341 S MILITARY HWY
CHESAPEAKE
VA
233202513
Practice Location Phone/Fax
| Phone: | 7574477333 |
| Fax: | 7573943394 |
Provider Mailing Location
1341 S MILITARY HWY
CHESAPEAKE
VA
233202513
Provider Mailing Phone/Fax
| Phone: | 7574477333 |
| Fax: | 7573943394 |