Individual
CHUONG DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1735 N STORY RD STE 180, IRVING, TX 75061-1951
(871) 966-0648
Mailing address
6861 SEACOAST DR, GRAND PRAIRIE, TX 75054-6828
(871) 966-0648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23837
TX
Other
Enumeration date
06/03/2008
Last updated
11/22/2008
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