| Dtt Dental Group | |
|
2150 E South St Suite 116 Long Beach CA 90805-4457 | |
| (562) 531-9779 | |
| (562) 531-9778 |
| Full Name | Dtt Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2150 E South St, Long Beach, California |
| Authorized Official Name and Position | Phuongtrinh N Nguyen (PRESIDENT) |
| Authorized Official Contact | 5625319779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtt Dental Group 2150 E South St Suite 116 Long Beach CA 90805-4457 Ph: (562) 531-9779 | Dtt Dental Group 2150 E South St Suite 116 Long Beach CA 90805-4457 Ph: (562) 531-9779 |
| NPI Number | 1972720845 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972720845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40101 (California) | Primary |
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