Organization · Type 2 NPI

Henry Vong Prof Dental Corp

Dental Clinic/Center · Roseville, CA

NPI number 1639599129 Active

Practice location

1771 Pleasant Grove Blvd, Ste 180
Roseville, CA 95747-8720

Call (916) 772-3847 Map

Fax (916) 273-3111

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X60037 (CA)

Dental Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1639599129

Henry Vong Prof Dental Corp's National Provider Identifier is 1639599129, issued on Apr 23, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Roseville, CA. The record was last updated on Apr 23, 2014.