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DR. AUDREY DUONG DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1437636701

Individual Registrant:
DR. AUDREY  DUONG DDS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 W 3RD ST  CLOVERDALE, CA 95425-3204 US
Tel: 707-894-4229  Fax: --

Contact information for business:
837 HENDERSON AVE  SUNNYVALE, CA 94086-8731 US
Tel: --  Fax: --

Registration Information:
NPI: 1437636701
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA102830

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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