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Organization
HENRY VONG PROF DENTAL CORP
Active
Organization
HENRY VONG PROF DENTAL CORP
Active
Other names
Roseville Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY VONG D.D.S (PRESIDENT)
(415) 568-0761
Entity
Organization
Contact information
Practice address
1771 PLEASANT GROVE BLVD, STE 180, ROSEVILLE, CA 95747-8720
(916) 772-3847
(916) 273-3111
Mailing address
1771 PLEASANT GROVE BLVD, STE 180, ROSEVILLE, CA 95747-8720
(916) 772-3847
(916) 273-3111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
60037
CA
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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