Individual
HUNG Q QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4748 UNIVERSITY AVE STE D, SAN DIEGO, CA 92105-1972
(619) 640-8637
(619) 640-8647
Mailing address
12238 DARKWOOD RD, SAN DIEGO, CA 92129-3751
(858) 484-4272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
48171
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
48171
CA
Other
Enumeration date
01/23/2007
Last updated
11/26/2020
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