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DEREK DUNGQUANG DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2263 FAIRVIEW RD, #K, COSTA MESA, CA 92627-1672
(949) 515-9280
(949) 515-9289
Mailing address
2263 FAIRVIEW RD STE K, COSTA MESA, CA 92627-1672
(949) 515-9280
(949) 515-9289

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
48906
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
48906
CA

Other

Enumeration date
03/29/2007
Last updated
08/13/2019
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