Individual
LOAN THI DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
75 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4960
(617) 495-2063
(617) 496-0562
Mailing address
30A OUTLOOK DR, LEXINGTON, MA 02421-6925
(781) 861-6272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19325
MA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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