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Individual

VIVIAN MAUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8731 1/2 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(310) 984-1638
Mailing address
8731 1/2 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(310) 984-1638

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51359
CA

Other

Enumeration date
10/27/2006
Last updated
09/11/2013
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