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Henry Vong Prof Dental Corp
Dental Clinic/Center in Roseville, California
NPI 1639599129

Henry Vong Prof Dental Corp is a Dental Clinic/Center based in Roseville, CA and is specialized in Dental. Henry Vong Prof Dental Corp practices in Roseville, CA. The NPI Number for Henry Vong Prof Dental Corp is 1639599129 and holds a License No. 60037 (California).

The current practice location address for Henry Vong Prof Dental Corp is 1771 Pleasant Grove Blvd, Roseville, CA and can be reached out via phone at 916-772-3847 and via fax at 916-273-3111.

Location: 1771 Pleasant Grove Blvd, Roseville, CA, 95747-8720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639599129
Provider Name
Henry Vong Prof Dental Corp
Credential
Provider Entity Type
Organization
Address
1771 Pleasant Grove Blvd, Roseville, CA, 95747-8720
Phone Number
916-772-3847
Fax Number
916-273-3111
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1771 Pleasant Grove Blvd
City
Roseville
State
California
Zip
95747-8720
Phone Number
916-772-3847
Fax Number
916-273-3111
person
Provider Business Mailing Address Details
Address
1771 Pleasant Grove Blvd
City
Roseville
State
California
Zip
95747-8720
Phone Number
916-772-3847
Fax Number
916-273-3111
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
60037 (California)
Definition
Definition to come...
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