Individual
DR. BRIAN TUAN LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.B.A.
Contact information
Practice address
715 S MAIN ST, SANTA ANA, CA 92701-5717
(714) 647-0797
Mailing address
9702 SHANNON AVE, GARDEN GROVE, CA 92841-2652
(714) 366-2032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
126
NE
1223G0001X
General Practice Dentistry
126
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
126
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63276
CA
Other
Enumeration date
11/10/2014
Last updated
12/14/2020
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