| Hung Khai Nguyen,d.d.s. ,inc | |
|
4712 El Cajon Blvd Ste G San Diego CA 92115-4557 | |
| (619) 521-0580 | |
| (619) 640-0640 |
| Full Name | Hung Khai Nguyen,d.d.s. ,inc |
|---|---|
| Speciality | Dentist |
| Location | 4712 El Cajon Blvd Ste G, San Diego, California |
| Authorized Official Name and Position | Hung Khai Nguyen (PRESIDENT) |
| Authorized Official Contact | 6195210580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hung Khai Nguyen,d.d.s. ,inc 4712 El Cajon Blvd Ste G San Diego CA 92115-4557 Ph: (619) 521-0580 | Hung Khai Nguyen,d.d.s. ,inc 4712 El Cajon Blvd Ste G San Diego CA 92115-4557 Ph: (619) 521-0580 |
| NPI Number | 1104230747 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 06/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104230747 | NPI | - | NPPES |
| B38722-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38722 (California) | Primary |
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