Individual
HOA DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
466 MERRIMACK ST, LOWELL, MA 01854-3907
(978) 441-1005
(978) 970-1185
Mailing address
466 MERRIMACK ST, LOWELL, MA 01854-3907
(978) 441-1005
(978) 970-1185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16537
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268526
—
MA
05
—
9784446
—
MA
Enumeration date
10/06/2006
Last updated
07/09/2007
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