Organization
VIVIAN Q LUONG DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN LUONG DDS (PRESIDENT)
(714) 855-6863
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE STE 102, CULVER CITY, CA 90232-6834
(310) 956-1238
Mailing address
3831 HUGHES AVE STE 102, CULVER CITY, CA 90232-6834
(310) 956-1238
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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