Organization
TRIEU P. TON, DDS, PROF. CORP.
Active
Other names
Autumn Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRIEU P TON DDS (DENTIST/PRESIDENT)
(530) 574-3396
Entity
Organization
Contact information
Practice address
2199 MAIN ST, OAKLEY, CA 94561-3303
(925) 600-8020
(925) 452-6323
Mailing address
400 DEL ANTICO AVE UNIT 699, OAKLEY, CA 94561-5632
(925) 600-8020
(925) 452-6323
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59481
CA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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