Individual
VIVIAN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
191 AZ-264, GANADO, AZ 86505
(928) 755-4500
Mailing address
14011 SEA MYRTLE LN, SUGAR LAND, TX 77498-2095
(713) 540-7289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012146
AZ
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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