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Organization
TOM DANG TU D.D.S., INC
Active
Organization
TOM DANG TU D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM DANG TU DDS (DENTIST/ PRESIDENT)
(714) 590-1718
Entity
Organization
Contact information
Practice address
9872 CHAPMAN AVE, GARDEN GROVE, CA 92841-2737
(714) 590-1718
Mailing address
9872 CHAPMAN AVE, GARDEN GROVE, CA 92841-2737
(714) 590-1718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38142
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
899479
UNITED CONCORDIA
CA
01
—
B38142
HEALTHY FAMILIES DELTA
CA
05
—
B3814201
—
CA
Enumeration date
01/05/2007
Last updated
11/24/2014
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