Organization
TUONGTHUY P HA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUONGTHUY PHU HA DDS (OWNER)
(213) 248-4503
Entity
Organization
Contact information
Practice address
1959 E 4TH ST, LONG BEACH, CA 90802-3816
(562) 432-9883
Mailing address
1959 E 4TH ST, LONG BEACH, CA 90802-3816
(562) 432-9883
(562) 684-0302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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