Most Relevant Information
Provider Data
| NPI Number: | 1003400656 |
| Provider Name: | THAO LUONG |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 062604 |
Most Important Dates
| Enumeration Date: | 02/24/2021 |
| Last Updated: | 04/07/2023 |
Provider Practice Location
1873 WESTERN AVE STE 200
ALBANY
NY
122035028
Practice Location Phone/Fax
| Phone: | 5184367815 |
| Fax: |
Provider Mailing Location
1873 WESTERN AVE STE 200
ALBANY
NY
122035028
Provider Mailing Phone/Fax
| Phone: | 5184367815 |
| Fax: |