Organization
KHANH NGO OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHANH NGO OD (OPTOMETRIST)
(312) 810-3108
Entity
Organization
Contact information
Practice address
13055 W RANCHO SANTA FE BLVD, AVONDALE, AZ 85392-1700
(623) 535-4215
(623) 535-4234
Mailing address
3878 S MAPLE DR, GILBERT, AZ 85297-0062
(312) 810-3108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
01/26/2023
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