DR. Lich Van Khuong, DDS

NPI #1700942778 in Beaverton, Oregon

Provider Information

NPI Number: 1700942778
Entity Type: Individual
Name: DR. Lich Van Khuong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 28, 2006
Last Updated: Sep 22, 2016

Practice Location

Address: 12520 SW 1ST ST
City: Beaverton
State: Oregon
ZIP Code: 97005-0550
Phone: (503) 646-5230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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