Provider Demographics
NPI:1770476905
Name:VI-KHOI DUONG DDS, INC
Entity type:Organization
Organization Name:VI-KHOI DUONG DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VI-KHOI
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-463-5058
Mailing Address - Street 1:18742 AMAR RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4168
Mailing Address - Country:US
Mailing Address - Phone:626-828-0564
Mailing Address - Fax:
Practice Address - Street 1:18742 AMAR RD
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4168
Practice Address - Country:US
Practice Address - Phone:626-828-0564
Practice Address - Fax:626-828-0425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental