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Individual
DR. THUONG DOMINIC HOANG
Active
Individual
DR. THUONG DOMINIC HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20583
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1341891
UNITED CONCORDIA
TX
05
—
147438901
—
TX
01
—
B20583-01
TX-CHIP
TX
Enumeration date
03/22/2007
Last updated
06/26/2008
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