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NPI Code Detail

MEDICARE: DR. VINCENT-KIET TUAN DUONG DMD

MEDICARE: DR. VINCENT-KIET TUAN DUONG DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDB-2024-0153NM
21223G0001XGeneral Practice DentistryDB-2024-0153NM

General Provider Information

NPI Number : 1760222400
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT-KIET TUAN DUONG DMD
Provider Business Mailing Address
First Line : 6316 DUNGAN ST NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-3615
Country : US
Telephone Number : 505-720-5814
Fax Number :
Provider Business Practice Location Address
First Line : 145 DON PASQUAL RD NW
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-8841
Country : US
Telephone Number : 505-865-4618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2024
Last Update Date : 06/26/2024

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