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Individual

DONG QUANG TA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2248 S GAREY AVE, POMONA, CA 91766-5616
(909) 464-0992
(909) 464-0913
Mailing address
320 W WALNUT ST APT 51, ONTARIO, CA 91762-6675
(909) 464-0992
(909) 464-0913

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC26659
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DC0266591
CA
Enumeration date
02/15/2007
Last updated
05/20/2015
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