Individual
VINH TU VUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 GORDON HWY, #22, AUGUSTA, GA 30906-2292
(706) 790-9302
Mailing address
415 N GRAND AVE, PUEBLO, CO 81003-3111
(719) 583-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013451
GA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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