# VUONG AND PHAM, A DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043474679
- **Authorized official:** DR. AN HONG VUONG D.D.S., M.D. (OWNER)
- **Authorized official phone:** (714) 444-2274

## Contact information

- **Practice address:** 17150 EUCLID ST STE 319, FOUNTAIN VALLEY, CA 92708-4092
- **Practice address phone:** (714) 444-2274
- **Practice address fax:** (714) 444-2034
- **Mailing address:** 17150 EUCLID ST STE 319, FOUNTAIN VALLEY, CA 92708-4092
- **Mailing address phone:** (714) 444-2274
- **Mailing address fax:** (714) 444-2034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 00067 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 45419 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2008
- **Last updated:** 07/13/2008