Individual
DR. THUC XUAN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(541) 783-3293
(541) 783-3273
Mailing address
3949 S 6TH ST, KLAMATH FALLS, OR 97603-4746
(541) 783-3293
(541) 783-3273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9705
OR
Other
Enumeration date
11/28/2006
Last updated
08/01/2013
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