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1609986686
PHONG LU
WEST COVINA, CA
NPI
1609986686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 47518)
Enumeration Date
2006-08-30
Last Update Date
2014-01-10
Business Address
Dr. PHONG LU DDS
420 S GLENDORA AVE
WEST COVINA, CA 91790-3001
Phone number: 626-919-5724
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Mailing Address
Dr. PHONG LU DDS
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
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