LICH VAN KHUONG

BEAVERTON, OR
NPI1700942778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7551)
Enumeration Date2006-12-28
Last Update Date2016-09-22
Business Address
Dr. LICH VAN KHUONG DDS
12520 SW 1ST ST
BEAVERTON, OR 97005-0550
Phone number: 503-646-5230
Mailing Address
Dr. LICH VAN KHUONG DDS
12520 SW 1ST ST
BEAVERTON, OR 97005-0550
Phone number: 503-646-5230
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