Individual
CHRISTIE DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 679-2207
(860) 679-1363
Mailing address
160 CAPP ST, SAN FRANCISCO, CA 94110-1210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
101602
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
12872
CT
Other
Enumeration date
02/09/2016
Last updated
08/05/2020
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