Most Relevant Information
Provider Data
| NPI Number: | 1003520073 |
| Provider Name: | ALBERT VINH KHIEM NGO |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | D11744 |
Most Important Dates
| Enumeration Date: | 01/13/2023 |
| Last Updated: | 07/19/2023 |
Provider Practice Location
4104 SE 82ND AVE STE 450
PORTLAND
OR
972662958
Practice Location Phone/Fax
| Phone: | 5628523113 |
| Fax: |
Provider Mailing Location
16617 HARROWAY AVE
CERRITOS
CA
907031462
Provider Mailing Phone/Fax
| Phone: | 5628523113 |
| Fax: |