Individual
DR. VIVIAN QUYNH LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4241 HOLDREGE STREET #11, LINCOLN, NE 68501
(714) 855-6863
Mailing address
4241 HOLDREGE STREET #11, LINCOLN, NE 68501
(714) 855-6863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
59775
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
59775
CA
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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