Hung Q Quan, DDS
Dentist, Oral and Maxillofacial Surgery in San Diego, CA. Individual provider (NPI-1).
NPI number1154475366
StatusActive
Last updated in NPPESNov 26, 2020
Details
- NPI
- 1154475366
- Entity type
- Individual (NPI-1)
- Name
- Hung Q Quan
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2007
- Certification date
- Nov 26, 2020
- Last updated
- Nov 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 48171 | CA | Yes |
| 122300000X | Dentist | 48171 | CA |
Practice location
4748 University Ave Ste DSan Diego, CA 92105-1972
Phone 619-640-8637 · Fax 619-640-8647
Mailing address
12238 Darkwood RdSan Diego, CA 92129-3751
Phone 858-484-4272
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