Individual
MINH NGUYET DAO LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(310) 990-3938
Mailing address
714 TIVERTON AVE, LOS ANGELES, CA 90095-3078
(310) 990-3938
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.036109
IL
122300000X
Dentist
109670
CA
Other
Enumeration date
04/13/2023
Last updated
07/11/2025
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