| Jimmy Vu Ngo D.d.s., Inc | |
|
10562 Westminster Avenue Suite #b Garden Grove CA 92843-4800 | |
| (714) 530-8577 | |
| (714) 530-8578 |
| Full Name | Jimmy Vu Ngo D.d.s., Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10562 Westminster Avenue, Garden Grove, California |
| Authorized Official Name and Position | Jimmy Ngo (ORTHODONTIST) |
| Authorized Official Contact | 7145308577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Vu Ngo D.d.s., Inc 10562 Westminster Ave Ste B Garden Grove CA 92843-4864 Ph: (714) 530-8577 | Jimmy Vu Ngo D.d.s., Inc 10562 Westminster Avenue Suite #b Garden Grove CA 92843-4800 Ph: (714) 530-8577 |
| NPI Number | 1598907586 |
|---|---|
| Provider Enumeration Date | 04/06/2009 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598907586 | NPI | - | NPPES |
| B0435 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 40395 (California) | Primary |
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