Tung Thi Thanh Luong, DDS Valid NPI
Individual provider · General Practice Dentistry · Lake Forest, CA
- NPI
- 1346807500
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 107297 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-05-23
- Last updated
- 2024-02-28
Practice location
23492 White Dove Dr
Lake Forest, CA 92630-3765
(503) 791-0684