| Duong Dental, Inc. | |
|
24000 Alicia Pkwy Ste 18 Mission Viejo CA 92691-3929 | |
| (949) 427-2239 | |
| Not Available |
| Full Name | Duong Dental, Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 24000 Alicia Pkwy Ste 18, Mission Viejo, California |
| Authorized Official Name and Position | Iulian Georgescu (COO) |
| Authorized Official Contact | 9494271122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duong Dental, Inc. 24000 Alicia Pkwy Ste 18 Mission Viejo CA 92691-3929 Ph: (949) 427-2239 | Duong Dental, Inc. 24000 Alicia Pkwy Ste 18 Mission Viejo CA 92691-3929 Ph: (949) 427-2239 |
| NPI Number | 1083202766 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 06/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083202766 | NPI | - | NPPES |
| 101390 | Other | CA | LICENSE |
| 1396154753 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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