Organization
MICHELLE DUONG, DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DUONG DDS (OWNER/PRESIDENT)
(714) 319-0198
Entity
Organization
Contact information
Practice address
11404 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3616
(714) 319-0198
Mailing address
3541 ROYAL WOODS DR, SHERMAN OAKS, CA 91403-4213
(714) 319-0198
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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