Individual
DOMINIQUE DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5430 JIMMY CARTER BLVD STE 125, NORCROSS, GA 30093-1526
(770) 441-7900
Mailing address
5840 BEAVER RIDGE DR, CUMMING, GA 30040-0242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015115
GA
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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