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Individual

DR. DIEWITT DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8955 WOOD RD, BETHESDA, MD 20889
(301) 295-0064
Mailing address
8955 WOOD RD, BETHESDA, MD 20889-5628

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16487
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16487
STATE DENTAL BOARD LICENSE
MD
Enumeration date
07/17/2017
Last updated
05/20/2018
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