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Individual
VIET TON THAT
Active
Individual
VIET TON THAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
51660
CA
1223P0300X
Periodontics
D9353
OR
Other
Enumeration date
10/02/2009
Last updated
01/03/2022
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