Individual
THAI LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2565 ZANELLA WAY STE E, CHICO, CA 95928-7170
(530) 774-2975
Mailing address
2565 ZANELLA WAY STE E, CHICO, CA 95928-7170
(530) 774-2975
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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