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Individual

NGA ANH DUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
21105 SR 410 E, SUITE G-4, BONNEY LAKE, WA 98391-8457
(253) 299-6730
(253) 862-8921
Mailing address
21105 SR 401E, SUITE G4, BONNEY LAKE, WA 98391
(253) 299-6730
(253) 862-8921

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
BD9843803
WA
1223G0001X
General Practice Dentistry
5175
NV

Other

Enumeration date
11/22/2006
Last updated
01/07/2016
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