Organization
BO DUONG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAOCHAU DUONG DDS (PRESIDENT)
(562) 533-0169
Entity
Organization
Contact information
Practice address
15751 BROOKHURST ST, SUITE 129, WESTMINSTER, CA 92683-7501
(714) 531-7130
Mailing address
PO BOX 1832, HUNTINGTON BEACH, CA 92647-1832
(562) 533-0169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55112
CA
Other
Enumeration date
12/31/2012
Last updated
02/08/2017
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