Individual
DR. KHANH V LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
40TH & HOLDREGE STREET, ORTHODONTIC DEPARTMENT, LINCOLN, NE 68583-0740
(337) 296-1045
Mailing address
2911 FLETCHER AVE, APT 126, LINCOLN, NE 68504-1011
(337) 296-1045
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6363
LA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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