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1861415390
VIET D TA
RANCHO CUCAMONGA, CA
NPI
1861415390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A69957)
Enumeration Date
2006-07-25
Last Update Date
2012-01-11
Business Address
-- VIET D TA MD
8235 ROCHESTER AVE SUITE 110
RANCHO CUCAMONGA, CA 91730-0718
Phone number: 909-484-4900
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Mailing Address
-- VIET D TA MD
8235 ROCHESTER AVE SUITE 110
RANCHO CUCAMONGA, CA 91730-0718
Phone number: 909-484-4900
Copy
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