Organization
DUONG DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IULIAN GEORGESCU (COO)
(949) 427-1122
Entity
Organization
Contact information
Practice address
24000 ALICIA PKWY STE 18, MISSION VIEJO, CA 92691-3929
(949) 427-2239
Mailing address
24000 ALICIA PKWY STE 18, MISSION VIEJO, CA 92691-3929
(949) 427-2239
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101390
LICENSE
CA
01
—
1396154753
NPI
—
Enumeration date
01/07/2021
Last updated
06/09/2021
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