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Individual
NGOC LUU
Active
Individual
NGOC LUU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34349
TX
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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