Organization
VUONG AND PHAM, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AN HONG VUONG D.D.S., M.D. (OWNER)
(714) 444-2274
Entity
Organization
Contact information
Practice address
17150 EUCLID ST STE 319, FOUNTAIN VALLEY, CA 92708-4092
(714) 444-2274
(714) 444-2034
Mailing address
17150 EUCLID ST STE 319, FOUNTAIN VALLEY, CA 92708-4092
(714) 444-2274
(714) 444-2034
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
00067
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
45419
CA
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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