Provider Demographics
NPI:1730865924
Name:EDWARD VUONG D.M.D INC
Entity type:Organization
Organization Name:EDWARD VUONG D.M.D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:323-698-6801
Mailing Address - Street 1:7725 GATEWAY UNIT 3353
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-5851
Mailing Address - Country:US
Mailing Address - Phone:323-698-6801
Mailing Address - Fax:
Practice Address - Street 1:7777 EDINGER AVE STE 232
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-8692
Practice Address - Country:US
Practice Address - Phone:714-312-7714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty