Organization
CHANG S. VONG, DMD, A PROFESSIONAL CORPORATION
Active
Other names
Vineyard Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANG VONG DMD (PRESIDENT)
(916) 525-3200
Entity
Organization
Contact information
Practice address
8940 VINTAGE PARK DR # 100, SACRAMENTO, CA 95829-1627
(916) 525-3200
Mailing address
8940 VINTAGE PARK DR # 100, SACRAMENTO, CA 95829-1627
(916) 525-3200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
58416
CA
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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