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Organization
DUONG AND PETCHPUD GENERAL PARTNERSHIP
Active
Organization
DUONG AND PETCHPUD GENERAL PARTNERSHIP
Active
Other names
South Coast Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BAOCHAU T DUONG DDS (OWNER PARTNER)
(949) 360-1021
Entity
Organization
Contact information
Practice address
5 JOURNEY, SUITE 250, ALISO VIEJO, CA 92656-5336
(949) 360-1021
(949) 360-4125
Mailing address
5 JOURNEY, SUITE 250, ALISO VIEJO, CA 92656-5336
(949) 360-1021
(949) 360-4125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55112
CA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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