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9040 Huntington Dr San Gabriel CA 91775 | |
| (626) 792-1755 | |
| (626) 872-1901 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9040 Huntington Dr, San Gabriel, California |
| Authorized Official Name and Position | Julian L. Nguyen (CEO) |
| Authorized Official Contact | 6267921755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1090 Linda Vista Ave Pasadena CA 91103 Ph: (626) 792-1755 | 9040 Huntington Dr San Gabriel CA 91775 Ph: (626) 792-1755 |
| NPI Number | 1790147502 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790147502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44046 (California) | Primary |
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