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HOA BANH D.M.D

>> Dentist >> Dental Providers

Registrant NPI Number: 1427106038

Individual Registrant:
 HOA  BANH D.M.D
Gender: M
Sole Proprietor

Location and contact information for practice:
420 E KETTLEMAN LN STE 6 LODI, CA 95240-5957 US
Tel: 209-368-6788  Fax: 888-348-9455

Contact information for business:
9227 CAPE MAY CT  ELK GROVE, CA 95758-7607 US
Tel: 916-897-0797  Fax: --

Registration Information:
NPI: 1427106038
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
CA47042
Y1223G0001XDental Providers
Dentist
CA47042

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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