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Praseuth Souvannavong
NPI 1982928412 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2740 S Bristol St
218
Santa Ana, CA 92704 - Phone
- (714) 754-8200
- Fax
- (714) 754-8201
- Organisation at this address
- Lucero Dental Clinic
Clover Healthcare Inc
Michael T Mumford Md Inc
Persue Health Partnership
Jeffrey A. Elo, Dds, Ms, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Durable Medical Equipment & Medical Supplies
332B00000X
- Sex
- Male
- Record last updated
- 2010-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California