Organization
TAI DUC DUONG, DDS A PROFESSINAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAI DUC DUONG D.D.S. (PRESIDENT)
(805) 486-6383
Entity
Organization
Contact information
Practice address
629 COOPER RD, SUITE A, OXNARD, CA 93030-5427
(805) 486-6383
(805) 487-0482
Mailing address
629 COOPER RD, SUITE A, OXNARD, CA 93030-5427
(805) 486-6383
(805) 487-0482
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
31026
CA
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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