Organization
VIVIAN MAUNG DDS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN MAUNG DDS, MS (CEO)
(310) 984-1638
Entity
Organization
Contact information
Practice address
8731 1/2 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(310) 984-1638
Mailing address
8731 1/2 LA TIJERA BLVD, LOS ANGELES, CA 90045-3906
(310) 984-1638
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
2880612
CA
Other
Enumeration date
01/21/2008
Last updated
09/18/2014
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