Individual
BENJAMIN VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 CINDY LOU DR, SAN ANTONIO, TX 78249-1537
(832) 755-1179
Mailing address
106 CINDY LOU DR, SAN ANTONIO, TX 78249-1537
(832) 755-1179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30888
TX
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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