Derek Dungquang Duong, DMD | |
2263 Fairview Rd, #k, Costa Mesa, CA 92627-1672 | |
(949) 515-9280 | |
(949) 515-9289 |
Full Name | Derek Dungquang Duong |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2263 Fairview Rd, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922127703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 48906 (California) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 48906 (California) | Primary |
Entity Name | Derek Dungquang Duong Professional Dental Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144370768 PECOS PAC ID: 7012277908 Enrollment ID: O20180423002568 |
Entity Name | Quyen Thuc Duong Professional Dental Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568687721 PECOS PAC ID: 0345661302 Enrollment ID: O20200528002739 |
Mailing Address | Practice Location Address |
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Derek Dungquang Duong, DMD 2263 Fairview Rd Ste K, Costa Mesa, CA 92627-1672 Ph: (949) 515-9280 | Derek Dungquang Duong, DMD 2263 Fairview Rd, #k, Costa Mesa, CA 92627-1672 Ph: (949) 515-9280 |
Dr. Gary L Wyatt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1801 Newport Boulevard, Suite C, Costa Mesa, CA 92627 Phone: 949-650-1030 Fax: 949-722-2481 | |
Dr. Jeremy Brian Jorgenson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3033 Bristol St, Ste Aa, Costa Mesa, CA 92626 Phone: 714-424-9099 | |
Ms. Na Young Kim, Dentist Medicare: Medicare Enrolled Practice Location: 275 Victoria St Ste 2e, Costa Mesa, CA 92627 Phone: 714-873-7081 | |
Talayeh Azarpajouh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Harbor Blvd Ste G1, Costa Mesa, CA 92626 Phone: 714-546-6100 | |
Dr. Kouichi Itoh, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3151 Airway Ave. # F-103, Costa Mesa, CA 92626 Phone: 714-549-7030 | |
William Pomeroy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 E 18th St Ste D, Costa Mesa, CA 92627 Phone: 949-548-3384 | |
Dr. Ronald Dee Housepian, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2000 Newport Blvd, Costa Mesa, CA 92627 Phone: 949-642-7495 |