| NPI | 1679660484 |
|---|---|
| Former Name | LUYEN DUC DO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4817) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 53205) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-07-15 |