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Individual

HUNG K DO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
823 E BIDWELL RD, SUITE 400, FOLSOM, CA 95630
(916) 984-4591
Mailing address
9045 BRUCEVILLE RD STE 170, ELK GROVE, CA 95758-5951
(916) 508-0970

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
45681
CA

Other

Enumeration date
11/01/2006
Last updated
08/07/2007
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