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Individual

TUAN QUOC TONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
854 HAMPTON RD, MCDONOUGH, GA 30253
(770) 320-9882
(770) 320-9884
Mailing address
854 HAMPTON RD, MCDONOUGH, GA 30253
(770) 320-9882
(770) 320-9884

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012718
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122690505G
GA
Enumeration date
12/04/2006
Last updated
02/14/2018
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