| Ad Nguyen Professional Dental Corp | |
|
360 E 7th St Ste N Upland CA 91786-6701 | |
| (909) 920-6064 | |
| (909) 920-1920 |
| Full Name | Ad Nguyen Professional Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 360 E 7th St Ste N, Upland, California |
| Authorized Official Name and Position | Anthony Dung Nguyen (DENTIST) |
| Authorized Official Contact | 7149251200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ad Nguyen Professional Dental Corp 360 E. 7th Street Suite #n Upland CA 91786 Ph: (909) 920-6064 | Ad Nguyen Professional Dental Corp 360 E 7th St Ste N Upland CA 91786-6701 Ph: (909) 920-6064 |
| NPI Number | 1023496023 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023496023 | NPI | - | NPPES |
| 47971 | Other | CA | LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 47971 (California) | Primary |
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