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Organization
THANG VI DUONG DDS INC
Active
Organization
THANG VI DUONG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANG VI DUONG DDS (CHAIR-OWNER)
(626) 308-0943
Entity
Organization
Contact information
Practice address
933 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-4715
(626) 308-0943
(626) 308-9142
Mailing address
933 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-4715
(626) 308-0943
(626) 308-9142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B49875-01
DELTA DENTAL'S HEALTHY FA
CA
01
—
G92496-01
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
12/12/2006
Last updated
08/22/2020
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