Provider Demographics
NPI:1578620415
Name:VU QUOC DUONG, D.D.S. APC
Entity Type:Organization
Organization Name:VU QUOC DUONG, D.D.S. APC
Other - Org Name:WESTMINSTER DENTAL CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VU
Authorized Official - Middle Name:QUOC
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-898-3707
Mailing Address - Street 1:6771 WESTMINSTER BLVD.
Mailing Address - Street 2:SUITE H
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-8066
Mailing Address - Country:US
Mailing Address - Phone:714-898-3707
Mailing Address - Fax:714-898-2223
Practice Address - Street 1:6771 WESTMINSTER BLVD.
Practice Address - Street 2:SUITE H
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-8066
Practice Address - Country:US
Practice Address - Phone:714-898-3707
Practice Address - Fax:714-898-2223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty