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DR. THAO DUNG OPTOMETRIST

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1558438101

Individual Registrant:
DR. THAO  DUNG OPTOMETRIST
Gender: F
Sole Proprietor

Location and contact information for practice:
1581 SYCAMORE AVE STE 10  HERCULES, CA 94547-1700 US
Tel: 510-799-7380  Fax: 510-799-7734

Contact information for business:
1581 SYCAMORE AVE STE 10  HERCULES, CA 94547-1700 US
Tel: 510-799-7380  Fax: 510-799-7734

Registration Information:
NPI: 1558438101
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA11418T

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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